MP25-04 TRANSUTRICULAR SEMINAL-VESICULOSCOPY IN THE MANAGEMENT OF SYMPTOMATIC MIDLINE CYSTS OF THE PROSTATE

Abstract

You have accessJournal of UrologyInfections/Inflammation of the Genitourinary Tract: Prostate & Genitalia1 Apr 2015MP25-04 TRANSUTRICULAR SEMINAL-VESICULOSCOPY IN THE MANAGEMENT OF SYMPTOMATIC MIDLINE CYSTS OF THE PROSTATE Pil Moon Kang, Won Ik Seo, Wan Suk Kim, Jang Ho Yoon, Dong Il Kang, Kweon Sik Min, and Jae Il Chung Pil Moon KangPil Moon Kang More articles by this author , Won Ik SeoWon Ik Seo More articles by this author , Wan Suk KimWan Suk Kim More articles by this author , Jang Ho YoonJang Ho Yoon More articles by this author , Dong Il KangDong Il Kang More articles by this author , Kweon Sik MinKweon Sik Min More articles by this author , and Jae Il ChungJae Il Chung More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2015.02.1207AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES To evaluate the utility of transutricular seminal vesiculoscopy as a diagnostic and therapeutic option for symptomatic midline cysts of the prostate in patients with hematospermia and symptoms associated with prostatitis. METHODS From January 2005 to July 2013, 61 patients with symptomatic (hematospermia, pain on ejaculation, scrotal discomfort) midline cysts of the prostate, who did not improve with medication within a 4-week period, were included. Diagnosis of a midline cyst of the prostate was based on an anechoic round or spheroid-shaped lesion in the median, above the level of the verumontanum, extending into the prostatic base on transrectal ultrasonography (TRUS). All patients underwent transutricular seminal-vesiculoscopy using a 9.0 Fr rigid ureteroscope and Bugbee electrode. Medical records, the Chronic Prostatitis Symptom Index (NIH-CPSI), and TRUS were used for assessment for more than 3 months after the procedure. RESULTS Of the 61 patients, 32 (52.4%) had hematospermia, 20 (32.7%) had symptoms associated with chronic pelvic pain syndrome, such as perineal pain, scrotal discomfort, and testicular pain, and 9 (14.7%) patients had ejaculatory disturbances, such as painful or uncomfortable ejaculation and anejaculation as major complaints/symptoms. Hematospermia resolved in 29 of 32 (90.6%) patients after transutricular semino-vesiculoscopy. Hematospermia recurred in one patient after 2 years. In 29 patients with chronic pelvic pain syndrome and ejaculatory disturbances, NIH-CPSI scores improved, from 19.0¡¾3.8 to 11.8¡¾3.6, after treatment. The pain domain and quality of life domain scores of the NIH-CPSI were better postsurgery than presurgery (p < 0.05). Acute epididymitis, as a postoperative complication, was observed in two patients. CONCLUSIONS The transutricular seminal vesiculoscopy procedure can be readily performed using conventional endoscopic equipment. This technique enables useful diagnostic and therapeutic approaches for symptomatic midline cysts of the prostate. © 2015 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 193Issue 4SApril 2015Page: e286 Advertisement Copyright & Permissions© 2015 by American Urological Association Education and Research, Inc.MetricsAuthor Information Pil Moon Kang More articles by this author Won Ik Seo More articles by this author Wan Suk Kim More articles by this author Jang Ho Yoon More articles by this author Dong Il Kang More articles by this author Kweon Sik Min More articles by this author Jae Il Chung More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...