AB168. A new method of chronic and recurrent seminal vesiculitis treatment

Purpose: To investigate a new method and its effect on the procedure of dilating the ejaculatory duct and flushing the seminal vesicle with an F9 seminal vesicle scope in patients with chronic and recurrent seminal vesiculitis.

Patients and methods: Twenty-six patients with a diagnosis based to signs, laboratory detection, digital rectal examination, and transrectal ultrasonography were involved in present study. The patients underwent a surgical procedure of dilating the ejaculatory duct and flushing the seminal vesicles with an F9 seminal vesicle endoscope. All patients were followed for 3 months to 1 year after treatment.

Results: There were significant reductions in symptoms, signs, white blood cell and red blood cell counts on microscopic examination, seminal vesicles size, improvement of inner walls echo in transrectal ultrasonography, and semen culture positive rate. Moreover, all patients showed improvement.

Conclusions: The present study provides a new transurethral seminal tract endoscopic technique with seminal vesicle scope through the normal anatomic tract to treat patients with chronic seminal vesiculitis. It proved to be easily conducted with minimized complications. Further investigations are needed to confirm our results.

Keywords: Dilating the ejaculatory duct; flushing the seminal vesicle; chronic and recurrent seminal vesiculitis