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혈정액증의 치료에서 경소낭 정낭내시경술의 유용성

Title
혈정액증의 치료에서 경소낭 정낭내시경술의 유용성
Other Titles
Transutricular Seminal-Vesiculoscopy in the Management of Hematospermia
Authors
변상권;나군호;양승철
Issue Date
2001
Journal Title
Korean Journal of Urology (대한비뇨기과학회지)
ISSN
0494-4747
Citation
Korean Journal of Urology (대한비뇨기과학회지), Vol.42(3) : 329~333, 2001
Abstract
Purpose: To evaluate the etiology and treatment of options in patients with hematospermia, we performed endoscopy of the seminal vesicles in 37 patients with hematospermia. Materials and Methods: The patients were evaluated with either transrectal ultrasound (TRUS) or endorectal MRI. Mean age was 47.1 years (range 28-68 years) with duration of infliction being 37 months (range 3 months to 10 years). When the patients who had the definite abnormalities on the imaging studies and did not improve by medications for more than 3 months, transutricular seminal-vesiculoscopy using 6Fr or 9Fr rigid ureteroscope was performed. Patients were followed for more than 3 months after the endoscopic treatment. Results: Hemorrhage was found in the seminal vesicles and the ejaculatory ducts in 23 (62.2%) and 3 (8.1%), respectively. Calculi were present in the seminal vesicles and the ejaculatory ducts in 6 (16.2%) and 2 (5.4%), respectively. Prostatitis was present in 9 (24.3%) patients. All patients except one reported improvement of hematospermia. Postoperative complications including epididymitis or retrograde ejaculation were not observed. Conclusions: Our series is the first large-scale experience of the seminal vesicle endoscopy in vivo. Transutricular seminal vesiculoscopy can be performed easily with conventional endoscopic equipment. The endoscopic evaluation and management of the hematospermia is a viable clinical option.
URI

http://ir.ymlib.yonsei.ac.kr/handle/22282913/142198
Appears in Collections:
1. 연구논문 > 1. College of Medicine > Dept. of Urology
Yonsei Authors
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