Objective To study the efficacy and safety of seminal vesiculoscopy in patients with hematospermia induced by seminal vesicle gland obstruction, and to find a positive and effective treatment for the disease. Methods A total of 82 patients with hematospermia induced by seminal vesicle gland obstruction admitted to Chengwu County People's Hospital from April 2017 to June 2022 were included in the study. According to the method of computer random number table, the patients were divided into an operation group and a conservative group, 41 cases in each group. The conservative group received comprehensive conservative treatment, while the operation group received transurethral seminal vesiculoscopy. The clinical efficacy, sexual function changes, red blood cell (RBC) and white blood cell (WBC) contents in semen before and after treatment, and complications were compared between the two groups. Results The total effective rate of the operation group was higher than that of the conservative group (P<0.05). The International Index of Erectile Function-5 (IIEF-5) and Chinese Index of Premature Ejaculation (CIPE) scores of the operation group and the conservative group after treatment were significantly higher than those before treatment, and the scores of the operation group were higher than those of the conservative group (P<0.05). After treatment,the counts of RBC and WBC in the operation group and the conservative group were all lower than those before treatment, and the counts in the operation group were lower than those in the conservative group (P<0.05). There were no significant differences in urethral stricture, urinary incontinence, and infection rate between the operation group and the conservative group (P>0.05). Conclusion The application of seminal vesiculoscopy can significantly improve the clinical efficacy of hematospermia patients induced by seminal vesicle gland obstruction, improve sexual function, and reduce the counts of semen RBC and WBC, with a small postoperative complication risk and high safety.
ZHOU Guangchun
. Efficacy and safety of seminal vesiculoscopy in patients with hematospermia induced by seminal vesicle gland obstruction[J]. Surgical Research and New Technique, 2023
, 12(1)
: 25
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DOI: 10.3969/j.issn.2095-378X.2023.01.007
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