Articles Tập 67 Số CĐ9-Hội Y học Giới tính 29/07/2026

EVALUATION OF OUTCOMES OF TRANSURETHRAL SEMINAL VESICULOSCOPY IN TREATMENT OF PERSISTENT HEMATOSPERMIA AT THE CENTER OF ANDROLOGY, VIET DUC UNIVERSITY HOSPITAL IN 2025

Luu Quang Long1,2,3,4, Nguyen Lan Anh1,3, Tran Diep Quynh1,3, Nguyen Hoang Vi Thao1,3, Le Cong Minh1,3, Nguyen Huu Thao1,3, Nguyen Quang1,2,3,4
1 VNU University of Medicine and Pharmacy
2 Viet Duc University Hospital
3 Trường Đại học Y Dược, Đại học Quốc gia Hà Nội
4 Bệnh viện Hữu nghị Việt Đức
DOI: 10.52163/yhc.v67iCD9.5809
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Keywords
Persistent hematospermia, transurethral seminal vesiculoscopy, seminal vesicle stones, seminal vesiculitis, endoscopic treatment.
Abstract

Objectives: To describe clinical features, determine the proportion of etiologies causing persistent hematospermia diagnosed by transurethral seminal vesiculoscopy, evaluate treatment outcomes, and report complications.

Subjects and methods: Retrospective analysis of 13 male patients with persistent hematospermia (≥ 3 months) who underwent transurethral seminal vesiculoscopy at the Center of Andrology, Viet Duc University Hospital in 2025.

Results: Median age was 34 (18-53) years. The leading pre-operative diagnoses were seminal vesiculitis/vasitis (46.2%), seminal vesicle/ejaculatory duct stones (30.8%), and varicose periprostatic veins (15.4%). Endoscopy helped clarify the etiology in cases without a definite pre-operative diagnosis. All patients received definitive intervention in the same session (stone fragmentation, irrigation, vein fulguration). Median operative time was 45 minutes, and median hospital stay was 5 days (range 3-9). No intraoperative or postoperative complications were recorded; 100% of patients had complete resolution of hematospermia.

Conclusions: Transurethral seminal vesiculoscopy is a safe and effective method that allows accurate diagnosis and definitive treatment of persistent hematospermia in a single procedure.

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