1. Guiding role of seminal tract anatomical study in transurethral seminal vesiculoscopy
- Author
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Longjun Cai, Wen-da Zhang, Conghui Han, Dewei Qu, Jianjun Zhang, Bo Jiang, Wen Yang, Changjie Ouyang, Bo Chen, Kun Pang, Deguang Wang, Zhenduo Shi, Lin Hao, and Zhiguo Zhang
- Subjects
seminal tract anatomical observation ,complications ,Urology ,transurethral seminal vesiculoscopy ,030232 urology & nephrology ,03 medical and health sciences ,0302 clinical medicine ,surgical effect ,Cadaver ,medicine ,Seminal tract ,Pelvis ,Original Paper ,ejaculatory duct and seminal vesicle diseases ,business.industry ,Gastroenterology ,Obstetrics and Gynecology ,Anatomy ,Clinical Practice ,medicine.anatomical_structure ,030220 oncology & carcinogenesis ,Medicine ,Surgery ,Cadaveric spasm ,business ,Duct (anatomy) - Abstract
Introduction There have been problems with low qualification operator-related complications and failures of transurethral seminal vesiculoscopy (TSV) in China. Aim To study the guiding role of seminal tract anatomical study (STAS) in TSV. Material and methods We performed STAS to study the structure, morphology, duct trajectory, and anatomical relationships between the seminal vesicles and the adjacent tissue in pelvic specimens from 12 adult cadavers. Then the surgical effects and complications of 82 cases of TSV performed by 3 doctors were retrospectively studied to compare the difference between the two groups of before and after the anatomical study. Results The anatomical studies of the 12 adult cadaveric pelvis specimens identified the lengths and widths of the right- and left-side seminal vesicles and tracts. The TSV can treat lesions located in the distal seminal tract and vesicle, but proximal lesions cannot be reached, which is an anatomical limitation of this technique. There were significant differences in the surgical times and the surgical validity rates between the 2 groups. Conclusions Our anatomical study of the seminal tract and seminal vesicles is valuable for guiding TSV in clinical practice.
- Published
- 2019