Analysis Of The Curative Effect Of Seminal Vesiculoscope In The Treatment Of Intractable Seminal Vesiculitis And Ejaculatory Duct Obstruction

Objective: Refractory seminal vesicle phlogistic,seminal vesiculitis,SV)and Ejaculatory duct obstruction(Ejaculatory duct obstruction,EDO)is a common genitourinary system disease etiology,a lot of,a series of benign and malignant diseases such as inflammation,tumor trauma iatrogenic injury leads to SV or EDO in the past,the diagnosis of these diseases mainly depend on the patient’s symptoms,but as by transrectal ultrasound(transrectal ultrasound,TRUS)With the rise of techniques such as computed tomography(CT)and magnetic resonance imaging(MRI),the detection rate of these diseases has increased.However,these techniques cannot directly observe the internal anatomical structure of the reproductive tract.If the lesion scope is limited,the result may be false negative.In this study,seminal vesiculoscope technology was applied to the diagnosis and treatment of SV and EDO.Methods: Patients divided into two groups: a group for the SV group,another group of EDO line group,all patients with seminal vesicle mirror check patient data including complained of symptoms of semen analysis by transrectal ultrasound(TRUS)CT or MRI seminal vesicle mirror operation complications,such as semen analysis results comparison before and after operation,including sperm volume pH berries and fine sugar content is compared by t test,P < 0.05 for the difference was statistically significant.Results: The general MRI conditions of hemospermia patients can be roughly divided into 4 categories :(1)86.2% of the patients have characteristic signs,such as abnormal signal strength of seminal vesicles or enlarged seminal vesicles.Abnormal MRI signals are generally in the seminal vesicle region,presenting moderate to high signal intensity,indicating fresh hemorrhage in the seminal vesicle.Seminal vesicle microscopy confirmed old SV hemorrhage.(2)The next is cystic change in the area of the ejaculatory duct,with or without seminal vesicle enlargement.The lesion is generally located in the medial region of the verumontanum,with the size ranging from 0.7 to 2.3 cm,and is mainly confined to the prostate gland.(3)The third feature is the change in size and shape of unilateral or bilateral SV.The width of SV exceeding 1.5cm indicates obvious dilatation.Seminal vesicle observation confirms that these changes are caused by complete or incomplete obstruction of the ejaculatory duct.(4)The fourth sign is the formation of calculi in seminal vesicles or adjacent cysts.Calculi were observed in seminal vesicles or prostatic vesicles during seminal vesicles endoscopic surgery.In the SV group,symptoms were significantly relieved,including discomfort symptoms such as perineal and lower abdominal pain,ejaculatory pain and other postoperative complications,including urethral bleeding,stricture,urination pain,retrograde ejaculatory and rectal injury,etc.The semen analysis and symptoms of the EDO group were significantly improved after surgery,and the semen analysis showed that the pH value of sperm volume and sperm berry sugar content changed significantly.Conclusion: Transurethral seminal vesiculoscope is a new technique to treat urogenital diseases without changing the original anatomical structure.