Abstract
We evaluated the prostate and seminal tract with magnetic resonance imaging (MRI) in patients with hemospermia. To evaluate the prostate and seminal tract in 17 patients 20 to 59 years old (mean age 44) with hemospermia we performed transrectal ultrasound and MRI using an endorectal surface coil with a 1.5 tesla unit. Mean duration of hemospermia was 32 months (1 week to 16 years). Abnormalities were noted on transrectal ultrasound in 15 of the 17 patients (88%) and on MRI in all. Of the 12 cases of hemorrhage 10 involved the seminal vesicle and 2 involved the ejaculatory duct. There were 12 cystic lesions, including 7 in the müllerian and 5 in the ejaculatory ducts. Of 19 cases calculi were detected in the prostate in 5, seminal vesicle in 8, and ejaculatory and müllerian duct cysts in 4 and 2, respectively. There was 1 case of prostatic atrophy and 1 wolffian duct anomaly associated with an ejaculatory duct cyst, ectopic ureterocele and absence of the left kidney. MRI with an endorectal surface coil is a powerful modality for evaluating the seminal tracts of patients with hemospermia. It can be performed clinically when transrectal ultrasonography is not satisfactory.
References
Aug 1, 1992·AJR. American Journal of Roentgenology·M D SchnallH Y Kressel
Aug 1, 1989·Radiology·M D SchnallH Y Kressel
Nov 1, 1993·British Journal of Urology·G L Lamont, D C Gough
Citations
Mar 8, 2011·Urological Research·Maher HadidiMujalli Mhailan Murshidi
Jun 28, 2006·Abdominal Imaging·D A Torigian, P Ramchandani
Mar 1, 2013·Cell Biochemistry and Biophysics·Cong-hui HanChang-song Pei
Nov 7, 2001·The Journal of Urology·R B Nadler, J N Rubenstein
Aug 5, 2000·Urology·M V Meng, L H Werboff
Jul 25, 2003·Magnetic Resonance Imaging·Hitoshi Oh-okaSadao Kamidono
Dec 31, 2002·Clinical Imaging·Hicham A MoukaddamWassim Wazzan
Oct 12, 2000·The New England Journal of Medicine
Sep 7, 2013·BMC Urology·Nikolaos PapoutsoglouHubertus Riedmiller
Aug 9, 2007·Andrologia·S WangS-L Cai
Mar 24, 2017·Scandinavian Journal of Urology·Michelle ChristodoulidouRaj Nigam
May 9, 2008·International Braz J Urol : Official Journal of the Brazilian Society of Urology·Adilson Prando
Apr 21, 2009·Urology·Woong Kyu HanSeung Choul Yang
Jun 26, 2018·Andrologia·Long TianXiao-Dong Zhang
Oct 17, 2013·Journal of Magnetic Resonance Imaging : JMRI·Eriko MaedaKuni Ohtomo
Aug 24, 1999·Magma·R LencioniC Bartolozzi
Jul 7, 2009·Nature Reviews. Urology·Muhammad I AslamMarek A W Miller
Feb 22, 2012·Nature Reviews. Urology·Rajender SinghAshok Agarwal