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KMID : 0358319930340061006
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Korean Journal of Urology
1993 Volume.34 No. 6 p.1006 ~ p.1010
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No Incision Percutaneous Seminal Vesiculography
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Abstract
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@EN Seminal vesiculography is an exellent method of evaluating the male genital tract not only for obstruction but also for other structural lesions that may cause infertility. To date it has been usually performed under general or spinal
anesthesia as
a preliminary to an operative procedure or during the epididymovasastomy. We report on no incision percutaneous seminal vesiculography under local anesthesia prior to the surgical correction of infertility. It was developed by applying the
percutaneous
vas puncture technique to seminal vesiculography and needed neither incision nor dissection. Thirty azoospermic patients were evaluated by this method for patency and image of the vas, seminal vesicles and ejaculatory ducts before corrective
surgery.
Not more than three punctures were made on one vas. To clarify the possibility that it may be complicated by the stenosis of the vas at the puncture site, fifteen patients were evaluated by intraoperative seminal vesiculography two months later
and
among them three patients were additionally evaluated pathologically. In cases whose were punctured more than twice at the same site of the vas, there were partial or severe obstruction but there was no obstruction when multiple punctures were
done
on
the different sites of one vas. Although this procedure requires a fair skill, it is simple to an expert. We could suggest that no incision percutaneous seminal vesiculography is plausible, safe and valuable in saving unnecessary scrotal
exploration and
shortening the surgical time. The future roles of this imaging technique are discussed.
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KEYWORD
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