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. Transurethral seminal vesiculoscopy was successfully performed in the 20 cases and the mean
operative time was 35 min (ranges from 25 to 90 min). Among the 20 patients, 11 patients were found to have seminal vesiculitis, five were with seminal vesicle stone, one was with prostatic utricle stone, one was with prostate
cyst, and one was with ejaculatory duct obstruction. The mean follow-up period was 7 months (ranged from 6 to 12 months).
Hematospermia in 19 cases disappeared after the surgery and only in one patient the
hematospermia recurred 6 months after the surgery. The cure rate was 95%. This study indicated that transurethral seminal vesiculoscopy could be performed easily using a semirigid pediatric
ureteroscope with few complications and is an effective therapeutic approach for persistent
hematospermia.