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https://www.readbyqxmd.com/read/27911457/what-is-the-impact-of-extracorporeal-shock-wave-lithotripsy-on-semen-parameters-a-systematic-review-and-meta-analysis
#1
Mohammad H Radfar, Nasser Simforoosh, Mehdi Sotoudeh, Mehdi H Ramezani, Mohammad J Mollakoochakian, Maryam Nikravesh, Hamidreza Shemshaki
BACKGROUND: Extracorporeal shock wave lithotripsy (ESWL) is an important tool for the management of urolithiasis. The effects of shockwaves on tissues are established. The aim of this meta-analysis is to evaluate the microscopic semen characteristics of young men before and after ESWL treatment for lower ureteral calculi. METHODS: Literature searches were performed following the Cochrane guidelines. We conducted a systematic review and meta-analysis that included six trials that investigated the effects of ESWL on semen parameters, including sperm concentration, motility, and hematospermia...
December 2, 2016: Urologia
https://www.readbyqxmd.com/read/27819756/ultrasound-detection-of-prostatic-calculi-as-a-parameter-to-predict-the-appearance-of-hematospermia-after-a-prostate-biopsy
#2
Lucio Dell'Atti
PURPOSE: We evaluated the correlation between prostate calculi and hematospermia in patients undergoing prostate biopsy, and its impact on sexual activity of patients. MATERIALS AND METHODS: A single-center prospective randomized study of 212 patients referred for transrectal ultrasound-guided prostate biopsy (TRUSBx) was performed. All patients were divided into two groups: Group A (GA), 106 patients with moderate/marked presence of prostatic calculi visualized by TRUS; Group B (GB), 106 patients with absence/scarce of prostatic calcifications...
November 2, 2016: International Braz J Urol: Official Journal of the Brazilian Society of Urology
https://www.readbyqxmd.com/read/27760629/-effectiveness-of-transurethral-seminal-vesiculoscopy-in-the-treatment-of-persistent-hematospermia-and-oligoasthenozoospermia-and-azoospermia-from-ejaculatory-duct-obstruction
#3
S X Tang, H L Zhou, Y L Ding
Objective: To analyze the effectiveness of transurethral seminal vesiculoscopy in the treatment of persistent hematospermia, and oligoasthenozoospermia and azoospermia from ejaculatory duct obstruction. Methods: The clinical date of 56 cases of persistent hematospermia, or azoospermia/oligoasthenozoospermia from ejaculatory duct obstruction treated with transurethral seminal vesiculoscopy between November 2013 and January 2016 in the First Affiliated Hospital of Fujian Medical University were reviewed. A total of 30 cases were persistent hematospermia for 6 months to 3 years, with no response to routine antibiotic therapy for >4 weeks; 24 cases were obstructive azoospermia; and the other 2 cases were extreme oligoasthenozoospermia...
September 27, 2016: Zhonghua Yi Xue za Zhi [Chinese medical journal]
https://www.readbyqxmd.com/read/27697459/hematospermia-as-a-rare-form-of-presentation-of-zinner-syndrome
#4
Nelson Canales-Casco, Alejandro Dominguez-Amillo, Miguel Angel Arrabal-Polo, Francisco Javier Sanchez-Tamayo, Miguel Arrabal-Martin, Jose Manuel Cozar-Olmo
A 17-year-old male was referred to the Urology department for hematospermia after initiation of sexual relationship. An MRI scan showed giant dilation of a multi-cystic left seminal vesicle with left renal agenesis. These findings are typical of the Zinner syndrome. In 70-80% of the cases when renal agenesis is found, there is an ipsilateral cystic dilation of the seminal vesicle that in some cases may be associated with testicular ectopia or absence of the bladder trigone. The ejaculatory ducts, which are formed from the mesonephric system, are abnormally developed in this cases...
September 30, 2016: Urology
https://www.readbyqxmd.com/read/27652230/retrograde-ejaculation-painful-ejaculation-and-hematospermia
#5
REVIEW
Arie Parnham, Ege Can Serefoglu
Although there has been an increased interest on premature ejaculation in the recent years, our understanding regarding the disorders of retrograde ejaculation, painful ejaculation and hematospermia remain limited. All three of these conditions require a keen clinical acumen and willingness to engage in thinking outside of the standard established treatment paradigm. The development of novel investigational techniques and treatments has led to progress in the management of these conditions symptoms; however, the literature almost uniformly is limited to small series and rare randomised trials...
August 2016: Translational Andrology and Urology
https://www.readbyqxmd.com/read/27569090/efficacy-of-a-short-prophylaxis-with-tranexamic-acid-on-hemostasis-during-transrectal-prostate-biopsy-in-patients-taking-oral-anti-platelet-treatment
#6
Lucio Dell'Atti, Papa Stefano, Capparelli Gaetano, Ippolito Carmelo
PURPOSE: To assess the efficacy of a short prophylaxis with tranexamic acid in reducing blood loss during transrectal ultrasound-guided prostate biopsy (TRUSBx) in patients taking oral anti-platelet therapy and to prospectively compare this approach with patients without oral prophylaxis. METHODS: A total of 359 consecutive patients taking chronic low dose aspirin were enrolled in this prospective study. Before TRUSBx all patients were randomly assigned into two groups; a short oral prophylaxis with tranexamic acid 500 mg orally, taken one hour before the procedure (group A, N:178 ) and those without oral prophylaxis (group B, N:181)...
May 2016: Journal of B.U.ON.: Official Journal of the Balkan Union of Oncology
https://www.readbyqxmd.com/read/27543165/complications-after-systematic-random-and-image-guided-prostate-biopsy
#7
Marco Borghesi, Hashim Ahmed, Robert Nam, Edward Schaeffer, Riccardo Schiavina, Samir Taneja, Wolfgang Weidner, Stacy Loeb
CONTEXT: Prostate biopsy (PB) represents the gold standard method to confirm the presence of cancer. In addition to traditional random or systematic approaches, a magnetic resonance imaging (MRI)-guided technique has been introduced recently. OBJECTIVE: To perform a systematic review of complications after transrectal ultrasound (TRUS)-guided, transperineal, and MRI-guided PB. EVIDENCE ACQUISITION: We performed a systematic literature search of Web of Science, Embase, and Scopus databases up to October 2015, according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement...
August 16, 2016: European Urology
https://www.readbyqxmd.com/read/27520544/natural-history-of-hematospermia-in-189-japanese-men
#8
Seiji Furuya, Naoya Masumori, Akio Takayanagi
OBJECTIVES: To prospectively investigate the natural history of hematospermia. METHODS: This study included 189 patients with hematospermia. All the patients underwent watchful waiting without any empirical treatment. RESULTS: The median observation period was 52 months. Hematospermia resolved spontaneously in 168 (88.9%) of the 189 patients, and the median disease duration was 1.5 months. Kaplan-Meier analysis showed that the persistence rates of hematospermia were 57...
August 12, 2016: International Journal of Urology: Official Journal of the Japanese Urological Association
https://www.readbyqxmd.com/read/27517360/hematospermia-evaluation-at-mr-imaging
#9
Pardeep K Mittal, Juan C Camacho, Dushyant V Sahani, Bobby Kalb, Peter A Harri, Viraj Master, Nima Kokabi, Matthew Hartman, Hiroumi D Kitajima, Courtney C Moreno
Hematospermia is a challenging and anxiety-provoking condition that can manifest as a single episode or recur over the course of weeks to months. It is usually a benign self-limiting condition in younger sexually active males without a history of risk factors such as cancer, urogenital malformations, bleeding disorders, and their associated symptoms. However, patients with recurrent, refractory and painful hematospermia with associated symptoms, such as fever, pain, or weight loss, require evaluation through clinical assessment and noninvasive investigations to rule out underlying pathologic conditions such as ejaculatory obstruction, infectious and inflammatory causes, malignancy, vascular malformations, and systemic disorders that increase the risk of bleeding, especially when presenting in older men...
September 2016: Radiographics: a Review Publication of the Radiological Society of North America, Inc
https://www.readbyqxmd.com/read/27326413/detecting-diseases-of-neglected-seminal-vesicles-using-imaging-modalities-a-review-of-current-literature
#10
REVIEW
Gautam Dagur, Kelly Warren, Yiji Suh, Navjot Singh, Sardar A Khan
Seminal vesicles (SVs) are sex accessory organs and part of male genitourinary system. They play a critical role in male fertility. Diseases of the SVs, usually results in infertility. Diseases of the SVs are extremely rare and are infrequently reported in the literature. We address the current literature of SV pathologies, symptoms, diagnosis, and treatment options. We review the clinical importance of SVs from PubMed. The current imaging modalities and instrumentation that help diagnose SV diseases are reviewed...
May 2016: International Journal of Reproductive Biomedicine (Yazd, Iran)
https://www.readbyqxmd.com/read/27214580/optimizing-safety-and-accuracy-of-prostate-biopsy
#11
Tonye A Jones, Jan Phillip Radtke, Boris Hadaschik, Leonard S Marks
PURPOSE OF REVIEW: The objective of this article is to examine the safety of prostate biopsy and discuss the emerging role of MRI-ultrasound fusion technology in improving diagnostic accuracy. RECENT FINDINGS: Men undergoing prostate biopsy frequently experience minor complications, including hematospermia, hematuria, and infection. Quinolone-resistant bacteria are a growing concern; thus, transperineal access or modification of antibiotic prophylaxis based on local antibiograms is now used to avoid infectious complications...
September 2016: Current Opinion in Urology
https://www.readbyqxmd.com/read/27172661/-8-5-11-5f-transurethral-seminal-vesiculoscopy-in-the-diagnosis-and-treatment-of-refractory-hematospermia
#12
Xiao-bo Zhu, Xiang-sheng Zhang, Shi-long Zhang, Hong-lin Shi, Chao-hui Kong, De-gang Ding, Zhong-hua Liu
OBJECTIVE: To investigate the clinical application value of 8.5/11.5 F transurethral seminal vesiculoscopy in the diagnosis and treatment of refractory hematospermia. METHODS: We retrospectively analyzed 78 cases of refractory hematospermia diagnosed and treated by 8.5/11.5 F transurethral seminal vesiculoscopy from June 2012 to June 2014. The patients underwent serum PSA examination, transrectal ultrasonography, seminal vesicle ultrasonography, and pelvis CT or MRI before surgery, and all received transurethral seminal vesiculoscopy under the 8...
March 2016: Zhonghua Nan Ke Xue, National Journal of Andrology
https://www.readbyqxmd.com/read/27166434/flexible-vesiculovasoscopy-using-a-microoptical-system-in-a-human-cadaver-model-an-experimental-approach-for-atraumatic-endoscopy-of-the-seminal-tract
#13
Daniel Schlager, Moritz Maas, Simon Hein, Fabian Adams, Martin Schoenthaler, Ulrich Wetterauer, Thorsten Diemer, Wolfgang Weidner, Arkadiusz Miernik
OBJECTIVES: The most common pathologies of the seminal tract are persistent hematospermia, seminal vesicle stones, and seminal duct obstruction. Endoscopic diagnostic work-up of the seminal tract is impeded by complex anatomy and lack of technical equipment. To date, there is no standardized endoscopic approach. The purpose of this study was to investigate the applicability and feasibility of a flexible microoptical device for atraumatic endoscopy of the seminal tract in a male human cadaver...
August 2016: Journal of Endourology
https://www.readbyqxmd.com/read/27134716/importance-of-an-early-diagnosis-in-primary-adenocarcinoma-of-the-seminal-vesicle
#14
Lucio Dell'Atti
The prognosis of seminal vesicle (SV) adenocarcinoma is often poor due to delayed diagnosis. About 95% of the patients die in less than 3 years. Diagnosis is difficult due to the absence of early clinical signs as hematuria, hematospermia and/or dysuria. We present the case of a 61-year-old Caucasian man with a left SV mass detected by transrectal ultrasound. SV ultrasound-guided biopsy showed an adenocarcinoma. The tumor was uniformly strongly immunoreactive for cytokeratin-7 and carcinoembryonic antigen. There was no immunoreactivity for prostate-specific acid phosphatase (PSAP) and CK-20...
March 21, 2016: Rare Tumors
https://www.readbyqxmd.com/read/27072179/spontaneous-recurrent-hematuria-and-hematospermia-unique-manifestations-of-von-willebrand-disease-type-i-case-report
#15
Daniele Minardi, Anna Rita Scortechini, Giulio Milanese, Pietro Leoni, Giovanni Muzzonigro
In this report we describe the case of a patient with unrecognized von Willebrand disease (vWD), in whom the only presenting symptoms were spontaneous and recurrent hematuria with bladder tamponade, associated with recurrent hematospermia. The diagnosis was made only after several admissions to the hospital. We suggest to include coagulopathies such as vWD as part of the evaluation in patients with unexplained genito-urinary bleeding.
March 2016: Archivio Italiano di Urologia, Andrologia
https://www.readbyqxmd.com/read/26977332/hematospermia-and-cloacogenic-transitional-cell-carcinoma-a-twist-on-significance-and-meaning
#16
Alex M Hennessey, Jessica M Clement, Faripour Forouhar, John A Taylor
A 52-year-old gentleman presented with recurrent hematospermia. Further history revealed recent onset of constipation and difficulty voiding. Rectal examination revealed a firm, polypoid mass and colonoscopy showed suspicious, ulcerated lesions of the rectal mucosa with narrowing of the rectal vault. Pathology demonstrated transitional cell carcinoma of the rectum. While transitional cell carcinoma is a common genitourinary cancer, its presence in the anus and rectum is exceedingly rare. Furthermore, hematospermia is generally not associated with malignancy...
2016: Case Reports in Urology
https://www.readbyqxmd.com/read/26937739/transmission-of-zika-virus-through-sexual-contact-with-travelers-to-areas-of-ongoing-transmission-continental-united-states-2016
#17
Susan L Hills, Kate Russell, Morgan Hennessey, Charnetta Williams, Alexandra M Oster, Marc Fischer, Paul Mead
Zika virus is a flavivirus closely related to dengue, West Nile, and yellow fever viruses. Although spread is primarily by Aedes species mosquitoes, two instances of sexual transmission of Zika virus have been reported, and replicative virus has been isolated from semen of one man with hematospermia. On February 5, 2016, CDC published recommendations for preventing sexual transmission of Zika virus. Updated prevention guidelines were published on February 23. During February 6-22, 2016, CDC received reports of 14 instances of suspected sexual transmission of Zika virus...
March 4, 2016: MMWR. Morbidity and Mortality Weekly Report
https://www.readbyqxmd.com/read/26765682/complications-after-prostate-biopsies-in-men-on-active-surveillance-and-its-effects-on-receiving-further-biopsies-in-the-prostate-cancer-research-international-active-surveillance-prias-study
#18
Leonard P Bokhorst, Inari Lepistö, Yoshiyuki Kakehi, Chris H Bangma, Tom Pickles, Riccardo Valdagni, Arnout R Alberts, Axel Semjonow, Petra Strölin, Manuel F Montesino, Viktor Berge, Monique J Roobol, Antti Rannikko
OBJECTIVE: To study the risk of serial prostate biopsies on complications in men on active surveillance (AS) and determine the effect of complications on receiving further biopsies. PATIENTS AND METHODS: In the global Prostate cancer Research International: Active Surveillance (PRIAS) study, men are prospectively followed on AS and repeat prostate biopsies are scheduled at 1, 4, and 7 years after the diagnostic biopsy, or once yearly if prostate-specific antigen-doubling time is <10 years...
September 2016: BJU International
https://www.readbyqxmd.com/read/26616460/rare-complication-after-a-transrectal-ultrasound-guided-prostate-biopsy-a-giant-retroperitoneal-hematoma
#19
Francesco Chiancone, Vincenzo Mirone, Maurizio Fedelini, Clemente Meccariello, Luigi Pucci, Maurizio Carrino, Paolo Fedelini
Common complications related to transrectal ultrasound (TRUS) guided prostatic needle biopsy are hematuria, hematospermia, and hematochezia. To the best of our knowledge, we report the second case of a very large hematoma extending from the pelvis into the retroperitoneal space in literature.A 66-year-old man with a serum prostate-specific antigen (PSA) of 5.4 ng/ml was admitted to our department for a TRUS-guided prostatic needle biopsy. Laboratory values on the day before biopsy, including coagulation studies, were all normal...
May 24, 2016: Urologia
https://www.readbyqxmd.com/read/26576299/the-application-of-pediatric-ureteroscope-for-seminal-vesiculoscopy
#20
Shulin Guo, Donghua Xie, Xiangfei He, Chuance Du, Lunfeng Zhu, Xiaolin Deng, Zhongsheng Yang
To describe a novel technique of transurethral seminal vesiculoscopy using a pediatric ureteroscope in the diagnosis and management of persistent hematospermia, a retrospective study was carried out for 20 patients with recurrent hematospermia whom we evaluated and treated using a 6-7.5F (6F front end and 7.5F rear end) pediatric ureteroscope from August 2009 to September 2013. For the 20 patients, the age ranges from 25 to 48 years with a mean age of 36 years. The duration of the hematospermia ranges from 6 to 48 months with a mean duration of 18 months...
2015: Minimally Invasive Surgery
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