A novel process to reduce obstructive azoospermia recurrence after transurethral seminal vesiculoscopy

Abstract

Introduction Transurethral seminal vesiculoscopy (TSV) is a common treatment for obstructive azoospermia but has a high rate of recurrence. Aim Introduce a new method involving indwelling double-J (D-J) tubes in seminal vesicles during TSV in order to reduce recurrent rate and refractory obstructive azoospermia. Methods A prospective study was performed to compare the effects and complications of patients treated with or without indwelling D-J tubes after TSV. General information and TSV Surgical parameters, including age, body mass index, preoperational antibiotics, history of urinary tract disease, surgical time length (STL) and complications during and after the surgery, were collected and used as baseline information. The current study compared the postoperative complications and postoperative hospital days (PHD), as well as the recurrence rate of haemospermia between the two groups. Results A total of 59 cases, including 28 patients who underwent treatment with indwelling D-J tubes and 31 patients who underwent treatment with the standard TSV procedure, were enrolled in this study. There was no statistically significant difference in baseline data, Intraoperative and postoperative complications and postoperative hospital days between the two groups (p > 0.05), and there was a statistically significant difference in STL and recurrence rate between the two groups (p < 0.05), the recurrence rate was lower in D-J group (21.4%) than that of control group (41.9%). This technique can effectively suppress the appearance of the first recurrence peak after TSV. Conclusion We introduced a new technique of indwelling D-J tubes for TSV to reduce the recurrence rate and refractory obstructive azoospermia.