Hol miumlaser incision through ureteroscopy for distal seminal tracts diseases

Wu Xiaojun; Li Weibing; Yan Junan; Zhou Zhansong; Wang Yongquan; Zhi Yi; Zheng Ji; He Peng

Abstract：Objective:Toanalyzetheefficacyofholmiumlaserincisionthroughureteroscopyandsimpleureteros-copy treat ment for distal se minal tracts diseases .Methods:We retrospectively analyzed 71 cases of distal se minal tracts diseases ,including 57 cases of he matosper mia ,8 cases of simple ejaculatory duct cysts ,and 6 cases of azoospermia.All the patients underwent semen analysis,transrectal ultrasonography,and seminal vesicle ultra-sonography ,and so me patients given pelvic CT or MRI .Results:In 54 cases of he mosper mia ,24 cases received si m-pleureteroscopy,and 30 cases were given holmium laserincision through ureteroscopy.Varying degrees of ejaculato-ry duct stenosis or obstruction were observed:7 cases of ejaculatory duct cysts and 6 cases of azoosper mia were sub-jected to hol miumlaser .During the postoperative follow-up ,2 cases experienced recurrence 6 or 8 months later in 24 cases of simple ureteroscopy .In 7 cases of prostatitis with simple ejaculatory duct cysts ,3 cases were cured ,3 cases i mproved ,and 1 case invalid .In 6 cases of azoosper mia ,2 patients'spouses were pregnant 7 or 14 months after sur-gery.Sperms weredetectedin4cases within1to3 monthsaftersurgery.Epididymitisoccurredin3cases.Nosuch complications as retrograde ejaculation,urinaryincontinence or rectal injury were observed postoperatively.Conclu-sions:The efficacy of hol miumlaser incision through ureteroscopy for distal seminal tracts diseases is better than simple ureteroscopy,whether it is worthy of clinical application needs further observation and summary.