Guiding role of seminal tract anatomical study in transurethral seminal vesiculoscopy

Kun Pang; Wen Yang; Jianjun Zhang; Longjun Cai; Bo Chen; Zhiguo Zhang; Lin Hao; Zhenduo Shi; Bo Jiang; Changjie Ouyang; Dewei Qu; Deguang Wang; Conghui Han; Wenda Zhang

doi:10.5114/wiitm.2019.86774

eISSN: 2299-0054
ISSN: 1895-4588

Videosurgery and Other Miniinvasive Techniques

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Urology

abstract:

Original paper

Guiding role of seminal tract anatomical study in transurethral seminal vesiculoscopy

Kun Pang

^{1, 2, 3}

,

Wen Yang

^{4, 5}

,

Jianjun Zhang

^{2, 6, 7}

,

Longjun Cai

^{2, 6}

,

Bo Chen

¹

,

Zhiguo Zhang

²

,

Lin Hao

¹

,

Zhenduo Shi

¹

,

Bo Jiang

¹

,

Changjie Ouyang

⁸

,

Dewei Qu

⁸

,

Deguang Wang

⁸

,

Conghui Han

^{1, 2, 3}

,

Wenda Zhang

¹

Department of Urology, Xuzhou Central Hospital, Xuzhou Clinical College affiliated to Xuzhou Medical University, Xuzhou, China
Department of Urology, The Third Affiliated Hospital of Soochow University, Changzhou, China
Department of Biotechnology, College of Life Sciences, Jiangsu Normal University, Xuzhou, China
Department of Renal Disease, Shandong First Medical University, Tai’an, China
Department of Renal Disease, Affiliated Hospital of Shandong Academy of Medical Sciences, Ji’nan, China
Department of Urology, Suqian People’s Hospital of Nanjing Drum-Tower Hospital Group, the Affiliated Suqian Hospital of Xuzhou Medical University, Suqian, China
Department of Urology, Hospital of Xuzhou Medical University, Suqian, China
Department of Anatomy, Xuzhou Medical University, Xuzhou, Jiangsu, China

Videosurgery Miniinv 2020; 15 (1): 176–184

DOI: https://doi.org/10.5114/wiitm.2019.86774

Online publish date: 2019/07/22

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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.

keywords:

transurethral seminal vesiculoscopy, ejaculatory duct and seminal vesicle diseases, seminal tract anatomical observation, surgical effect, complications

Guiding role of seminal tract anatomical study in transurethral seminal vesiculoscopy

Kun Pang 1, 2, 3 , Wen Yang 4, 5 , Jianjun Zhang 2, 6, 7 , Longjun Cai 2, 6 , Bo Chen 1 , Zhiguo Zhang 2 , Lin Hao 1 , Zhenduo Shi 1 , Bo Jiang 1 , Changjie Ouyang 8 , Dewei Qu 8 , Deguang Wang 8 , Conghui Han 1, 2, 3 , Wenda Zhang 1

transurethral seminal vesiculoscopy, ejaculatory duct and seminal vesicle diseases, seminal tract anatomical observation, surgical effect, complications