Clinical outcomes of transperitoneal laparoscopic unroofing and fenestration under seminal vesiculoscopy for seminal vesicle cysts

Xue, Ruizhi; Chen, Zhi; Liang, Haoran

doi:10.4103/aja.aja_62_18

Cited by 7 publications

(3 citation statements)

References 15 publications

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“…The use of SVC to treat SV cysts was evaluated by Xue et al (2018). The technique includes a transutricular approach and holmium laser was used to create a communication between the cyst and the SV lumen.…”

Section: Discussionmentioning

confidence: 99%

Management of ejaculatory duct obstruction by seminal vesiculoscopy: Case Report and Literature Review

Lira¹,

Bach²,

Miranda³

et al. 2020

JBRA Assisted Reproduction

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Ejaculatory duct obstruction is a rare condition identified in up to 5% of infertile men. Patients with ejaculatory duct obstruction can present with aspermia, azoospermia or oligoasthenospermia, painful ejaculation, hematospermia, prostatic pain, or male infertility. Semen analysis, transrectal ultrasonography, pelvic computerized tomography and magnetic resonance imaging are often used in the diagnostic work up, but with limited accuracy. While transurethral resection of the ejaculatory ducts has good efficacy for distal duct obstruction, results for proximal obstruction are less impressive, and it might cause severe complications, such as rectal injury and urinary incontinence. Recently, the use of high quality endourological devices and an improved understanding of ejaculatory ducts anatomy gleaned through the use of sophisticated imaging tools have led to the development of novel minimally invasive treatment options for this condition. The present study aims to report an index case of ejaculatory ducts obstruction managed with seminal vesiculoscopy, and review the current literature regarding this topic.

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Section: Discussionmentioning

confidence: 99%

Management of ejaculatory duct obstruction by seminal vesiculoscopy: Case Report and Literature Review

Lira¹,

Bach²,

Miranda³

et al. 2020

JBRA Assisted Reproduction

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“…Previous studies on hematospermia have indicated that recurrent hematospermia was associated with chronic inflammation of the prostate and seminal vesicles ( 13 , 14 ). Chronic inflammation and its secondary alterations cause obstruction, stone formation and stenosis ( 15-17 ). Moreover, the inflammation-induced formation of stones, obstruction and stenosis can worsen the inflammation rendering it more difficult to heal, as a vicious circle ( 15 , 18 , 19 ).…”

Section: Discussionmentioning

confidence: 99%

“…Chronic inflammation and its secondary alterations cause obstruction, stone formation and stenosis ( 15-17 ). Moreover, the inflammation-induced formation of stones, obstruction and stenosis can worsen the inflammation rendering it more difficult to heal, as a vicious circle ( 15 , 18 , 19 ). Preoperative examination of the present group of patients revealed that secondary alterations, such as ejaculatory cysts and seminal vesicle stones among others, exhibit higher occurrence rates, which was consistent with previous research findings.…”

Section: Discussionmentioning

confidence: 99%

Transrectal ultrasound‑guided seminal vesicle catheterization with continuous antibiotic infusion for the treatment of refractory hematospermia

et al. 2020

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The aim of the present study was to describe transrectal ultrasound (TRUS)-guided seminal vesicle catheterizations with continuous antibiotic infusion in patients with persistent hematospermia. A retrospective record review of 45 patients with refractory hematospermia treated with TRUS-guided seminal vesicle catheterization between 2010 and 2017 was performed. Seminal vesicle puncture and catheterization was performed under TRUS guidance for all patients. Antibiotic irrigation was used to rinse the seminal vesicle until the outflow fluid was clear. The trocar sleeve was left in situ and fixed on the skin of the perineum at the end of the procedure. All patients underwent a 24-h continuous infusion of antibiotic solution through the catheter. The patients were followed up to 3 years for the presence of hematospermia. The duration of refractory hematospermia was between 6 months and 9 years. A total of 14 patients exhibited consecutive hematospermia, while the remaining patients exhibited intermittent episodes. On TRUS, 15 cases of ejaculatory duct cyst, 7 cases of ejaculatory duct expansion, 3 cases of ejaculatory duct stones, 6 cases of seminal vesicle expansion, 8 cases of seminal vesicle stones and 5 cases of seminal vesicle wall or ejaculation wall calcification were diagnosed. A total of 41 patients completed the scheduled treatment plan; however, the catheter was dissociated on the 3rd or 4th day of catheterization in 4 patients. After a 1-3 year follow-up, hematospermia was not observed in 42 patients (93.33%) with recurrence in the remaining 3 patients. In conclusion, TRUS-guided seminal vesicle catheterization with continuous antibiotic infusion appeared to be a safe and effective method for the treatment of hematospermia.

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The prevalence of premature ejaculation and its relationship with polygamous men: a cross-sectional observational study at a tertiary hospital in Somalia

Mohamed¹,

Mohamud²,

Yaşar³

2021

BMC Urol

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Background Premature ejaculation (PE) is the most common and prevalent sexual disorder among men. To the best of our knowledge, this is the first study aimed at evaluating the relationship of PE among polygamous men. Method Over a 1-year period, a cross-sectional observational study was carried out among 202 married men who visited the urology polyclinic due to different clinical conditions and contributed by completing a standardized structured questionnaire regarding their sociodemographic data, as well as sexual and past medical history. Results In our study, the prevalence of PE was 37.1%; half of the monogamous men (50%) complained of PE, while 22% of men with two wives, 20% of men with three wives, and 12% of men with four wives complained of PE (p < 0.0001, 95% CI 0.122–1.920). Seventy percent of erectile dysfunction (ED) patients had PE concurrence (p < 0.0001, 95% CI 0.057–5.543). Regarding frequency of sexual intercourse, 48% of patients who complained of PE performed sexual intercourse less than two times/week, while two-thirds of the participants who did not complain of PE had sexual intercourse two to four times/week (p < 0.0001, 95% CI 0.203–0.568). Among the men who reported ED, 42% had one wife, 21.5% had two wives, 40% had three wives, and 12.5% had four wives (p < 0.029, 95% CI 0.417–0.962). Conclusions We report that polygamous men have a lower incidence of premature ejaculation and higher sexual satisfaction than monogamous men. There is a significant association between ED and PE, showing a complex and bidirectional relationship between the two conditions. The new taxonomic entity called loss of control of erection and ejaculation (LCEE) views the two sexual symptoms as deeply interrelated. The study results indicate that a sexual intercourse frequency of two or more times per week significantly lowers the risk of PE.

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Clinical outcomes of transperitoneal laparoscopic unroofing and fenestration under seminal vesiculoscopy for seminal vesicle cysts

Cited by 7 publications

References 15 publications

Management of ejaculatory duct obstruction by seminal vesiculoscopy: Case Report and Literature Review

Management of ejaculatory duct obstruction by seminal vesiculoscopy: Case Report and Literature Review

Transrectal ultrasound‑guided seminal vesicle catheterization with continuous antibiotic infusion for the treatment of refractory hematospermia

The prevalence of premature ejaculation and its relationship with polygamous men: a cross-sectional observational study at a tertiary hospital in Somalia

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