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Magnetic Resonance Imaging in Hemospermia

1997; Lippincott Williams & Wilkins; Volume: 157; Issue: 1 Linguagem: Inglês

10.1016/s0022-5347(01)65340-0

1527-3792

In R. Cho, Moo S. Lee, Koon Ho Rha, Sung Joon Hong, Seok S. Park, Myeong‐Jin Kim,

Pediatric Urology and Nephrology Studies

No AccessJournal of UrologyClinical Urology: Original Article1 Jan 1997Magnetic Resonance Imaging in Hemospermia In R. Cho, Moo S. Lee, Koon H. Rha, Sung J. Hong, Seok S. Park, and Myeong J. Kim In R. ChoIn R. Cho , Moo S. LeeMoo S. Lee , Koon H. RhaKoon H. Rha , Sung J. HongSung J. Hong , Seok S. ParkSeok S. Park , and Myeong J. KimMyeong J. Kim View All Author Informationhttps://doi.org/10.1016/S0022-5347(01)65340-0AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We evaluated the prostate and seminal tract with magnetic resonance imaging (MRI) in patients with hemospermia. Materials and Methods: To evaluate the prostate and seminal tract in 17 patients 20 to 59 years old (mean age 44) with hemospermia we performed transrectal ultrasound and MRI using an endorectal surface coil with a 1.5 tesla unit. Mean duration of hemospermia was 32 months (1 week to 16 years). Results: Abnormalities were noted on transrectal ultrasound in 15 of the 17 patients (88%) and on MRI in all. Of the 12 cases of hemorrhage 10 involved the seminal vesicle and 2 involved the ejaculatory duct. There were 12 cystic lesions, including 7 in the mullerian and 5 in the ejaculatory ducts. Of 19 cases calculi were detected in the prostate in 5, seminal vesicle in 8, and ejaculatory and mullerian duct cysts in 4 and 2, respectively. There was 1 case of prostatic atrophy and 1 wolffian duct anomaly associated with an ejaculatory duct cyst, ectopic ureterocele and absence of the left kidney. Conclusions: MRI with an endorectal surface coil is a powerful modality for evaluating the seminal tracts of patients with hemospermia. It can be performed clinically when transrectal ultrasonography is not satisfactory. References 1 : Hemospermia.. J. Urol.1983; 129: 377. Abstract, Google Scholar 2 : Massive hemospermia: a new etiology and simplified treatment.. J. Urol.1982; 128: 151. Abstract, Google Scholar 3 : Benign prostatic epithelial polyp of the urethra.. J. Urol.1984; 131: 120. Abstract, Google Scholar 4 : Clinical significance of hematospermia.. Mayo Clin. Proc.1974; 49: 815. Google Scholar 5 : Treatment of hemospermia caused by dilated seminal vesicles by direct drug injection guided by ultrasonography.. J. Urol.1988; 140: 991. Abstract, Google Scholar 6 : Transrectal ultrasonography in disorders of the seminal vesicles and ejaculatory ducts.. Urol. Clin. N. Amer.1989; 16: 773. Google Scholar 7 : Prostate: MR imaging with an endorectal surface coil.. Radiology1989; 172: 570. Google Scholar 8 : The seminal tract in patients with ejaculatory dysfunction: MR imaging with an endorectal surface coil.. AJR1992; 159: 337. Google Scholar 9 : Hemospermia owing to utricular cyst: embryological summary and surgical review.. J. Urol.1983; 129: 608. Abstract, Google Scholar 10 : Transtrigonal approach for excision of Mullerian duct structures. Brit. J. Urol., part 21993; 72: 834. Google Scholar 11 : Laparoscopic excision of Mullerian duct remnant.. J. Urol.1994; 152: 482. Abstract, Google Scholar 12 : Prostatic utricle cysts (mullerian duct cysts).. J. Urol.1978; 119: 765. Abstract, Google Scholar Department of Urology, Seoul Paik Hospital, Inje University and Departments of Urology and Diagnostic Radiology, Severance Hospital, Yonsei University, Seoul, Korea.© 1997 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byFURUYA S and KATO H (2018) A CLINICAL ENTITY OF CYSTIC DILATATION OF THE UTRICLE ASSOCIATED WITH HEMOSPERMIAJournal of Urology, VOL. 174, NO. 3, (1039-1042), Online publication date: 1-Sep-2005.NADLER R and RUBENSTEIN J (2018) LAPAROSCOPIC EXCISION OF A SEMINAL VESICLE FOR THE CHRONIC PELVIC PAIN SYNDROMEJournal of Urology, VOL. 166, NO. 6, (2293-2294), Online publication date: 1-Dec-2001. Volume 157Issue 1January 1997Page: 258-262 Advertisement Copyright & Permissions© 1997 by American Urological Association, Inc.MetricsAuthor Information In R. Cho More articles by this author Moo S. Lee More articles by this author Koon H. Rha More articles by this author Sung J. Hong More articles by this author Seok S. Park More articles by this author Myeong J. Kim More articles by this author Expand All Advertisement PDF downloadLoading ...