Transperitoneal Laparoscopic Excision of Seminal Vesicle Cyst: A Single-Center Experience

Zhang, Dongxu; Li, Xungang; Gao, Yi; Liu, Yushan; Wang, Junkai; Chen, Jie; Chen, Lu; Wang, Kai; Cui, Xingang; Xu, Da

doi:10.1089/end.2012.0071

Cited by 13 publications

(16 citation statements)

References 26 publications

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“…Seminal tract obstruction may lead to obstructive azoospermia, and affected patients may experience intractable hemospermia, perineal discomfort and pain, ejaculation pain, azoospermia, or infertility [2]. In the past, the outcome of conservative treatment was poor, and open surgery, laparoscopic or even flexible vesiculovasoscopy surgery has been performed for common seminal vesicle diseases [3][4][5][6][7][8]. For seminal tract and seminal vesicle diseases in certain locations, there is no appropriate and effective treatment method [7].…”

Section: Introductionmentioning

confidence: 99%

Guiding role of seminal tract anatomical study in transurethral seminal vesiculoscopy.

Pang

Yang

Zhang

et al. 2019

Videosurgery and Other Miniinvasive Techniques

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Introduction: There have been problems with low qualification operator-related complications and failures of transurethral seminal vesiculoscopy (TSV) in China. Aim: To study the guiding role of seminal tract anatomical study (STAS) in TSV. Material and methods: We performed STAS to study the structure, morphology, duct trajectory, and anatomical relationships between the seminal vesicles and the adjacent tissue in pelvic specimens from 12 adult cadavers. Then the surgical effects and complications of 82 cases of TSV performed by 3 doctors were retrospectively studied to compare the difference between the two groups of before and after the anatomical study. Results: The anatomical studies of the 12 adult cadaveric pelvis specimens identified the lengths and widths of the right-and left-side seminal vesicles and tracts. The TSV can treat lesions located in the distal seminal tract and vesicle, but proximal lesions cannot be reached, which is an anatomical limitation of this technique. There were significant differences in the surgical times and the surgical validity rates between the 2 groups. Conclusions: Our anatomical study of the seminal tract and seminal vesicles is valuable for guiding TSV in clinical practice.

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Section: Introductionmentioning

confidence: 99%

Guiding role of seminal tract anatomical study in transurethral seminal vesiculoscopy.

Pang

Yang

Zhang

et al. 2019

Videosurgery and Other Miniinvasive Techniques

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show abstract

“…None of the cases experienced cyst recurrence in the surgical area. According to Zhang et al , 14 five of their seven patients who underwent the TLU operation remained symptom free, and not a single case of cyst recurrence occurred during the 18 to 84-month follow-up period. This seems to indicate that TLU operation may provide a more predictable outcome with little tendency for recurrence, which may be explained by the TLU operation's excellent visualization and radical removal of the cystic wall.…”

Section: Discussionmentioning

confidence: 96%

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

2018

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Symptomatic seminal vesicle cysts (SVCs), especially those of a large size, can be removed by surgical treatments. Currently, open surgeries for SVC are rarely performed due to their extensive surgical trauma, and minimally invasive surgical therapies for treating seminal vesicle cysts are still in the early stages. In addition, relevant studies are mostly confined to case reports. In this study, we retrospectively reviewed 53 patients who had received transperitoneal laparoscopic unroofing or fenestration under seminal vesiculoscopy for SVC in our institution. Both surgeries decreased the cyst volume to a significant extent; however, according to the remnant lesion size after rechecking images, seminal vesiculoscopic fenestration tended to have a higher recurrence than laparoscopic unroofing. Regarding complications, two individuals in the laparoscopic unroofing group experienced ureteral injury and rectal injury, while patients in the fenestration group only had temporary hemospermia, which indicates that fenestration surgery tends to have less severe complications than laparoscopic unroofing. There was no solid evidence confirming semen improvement after these surgical therapies in our study. Future studies with a prospective design, larger sample size, and longer follow-up period are required to verify and further explore our findings.

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“…Current therapeutic options include TRUS-guided puncture and application of sclerosing agents (11–13). The surgical treatments consist of transurethral cyst incision drainage, open cyst resection and laparoscopic cystectomy (14–16). Coppens et al (17) suggested that the treatment of Mullerian duct cysts is most suitable for symptomatic or infertile patients.…”

Section: Discussionmentioning

confidence: 99%

Treatment of Mullerian duct cyst by combination of transurethral resection and seminal vesiculoscopy: An initial experience

et al. 2019

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The major purpose of the present study was to investigate the efficacy and feasibility of the Mullerian duct cyst treatment by transurethral electrotomy combined with seminal vesiculoscopy. The clinical data of 20 aspermia patients who presented with Mullerian Cyst between March 2009 and March 2016 were retrospectively analyzed in the present study. Semen specimens of all patients were obtained by masturbation or sperm collector and diagnosed as aspermia by semen analysis (including sperm count, semen volume, sperm density, pH and fructose level). By transrectal ultrasonography, magnetic resonance imaging and testicular biopsy, the diagnosis of Mullerian cyst inducing obstruction aspermia was correctly identified. All patients were treated with the combination of transurethral resection and seminal vesiculoscopy. The operation time was 30–50 min. The follow-up duration after the operation was 12 months. All subjects included in the present study successfully underwent the operation. The semen quality of all patients was greatly improved and sperms were detected in semen specimens. The semen routine examination results of 3 consecutive follow-up exams within 12 months were within the normal range. The ejaculate volume and semen fructose levels were significantly higher than those prior to surgery (P<0.05). Furthermore, at 12 months post-operatively, the seminal vesicles of 6 patients were smaller than at the pre-operative stage. In conclusion, transurethral resection combined with seminal vesiculoscopy may be an effective and feasible option for the treatment of patients with Mullerian duct cyst.

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Transperitoneal Laparoscopic Excision of Seminal Vesicle Cyst: A Single-Center Experience

Abstract: Our study has demonstrated that transperitoneal laparoscopic excision of SVC is a safe, feasible, and efficacious procedure, and offers an excellent option for minimally invasive treatment of patients with SVC.

Cited by 13 publications

References 26 publications

Guiding role of seminal tract anatomical study in transurethral seminal vesiculoscopy.

Guiding role of seminal tract anatomical study in transurethral seminal vesiculoscopy.

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

Treatment of Mullerian duct cyst by combination of transurethral resection and seminal vesiculoscopy: An initial experience

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