Transrectal ultrasonography-guided transperineal bilateral seminal vesicle puncture and continuous irrigation for the treatment of intractable hematospermia

Hematospermia is a rare condition, but often causes frustration. The reason for this frustration is that theexact incidence of hematospermia remains unknown and its cause is difficult to determine.^1 Many reports in the past decades have focused on the etiology of hematospermia.^2 Hematospermia is t...

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Bibliographic Details
Published in:Chinese medical journal 2008-06, Vol.121 (11), p.1052-1054
Main Authors: Zhang, Xin-ru, Gu, Bao-jun, Xu, Yue-min, Chen, Rong, Zhang, Jiong, Qiao, Yong
Format: Article
Language:English
Subjects:
Adult
Aged
Hemospermia - diagnostic imaging
Hemospermia - therapy
Humans
Male
Middle Aged
Punctures
Rectum - diagnostic imaging
Seminal Vesicles
Therapeutic Irrigation
Ultrasonography
药物灌注
血性精液
超声波检查法
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Summary:Hematospermia is a rare condition, but often causes frustration. The reason for this frustration is that theexact incidence of hematospermia remains unknown and its cause is difficult to determine.^1 Many reports in the past decades have focused on the etiology of hematospermia.^2 Hematospermia is treated initially by administration of antibiotics, coagulants, and sex steroid hormones. However, some cases may prove resistant to this therapy and the condition may continue. For some intractable and agnogenic cases, the therapeutic strategy mentioned above is not very effective. Recently, we treated 63 such nonresponsive patients by direct continuous antibiotic irrigation into the bilateral seminal vesicles through puncture under transrectal ultrasonography （TRUS） guidance.
ISSN:0366-6999
2542-5641
DOI:10.1097/00029330-200806010-00017