Endorectal magnetic resonance imaging in persistent hemospermia

OBJECTIVE: To present the spectrum of abnormalities found at endorectal magnetic resonance imaging (E-MRI), in patients with persistent hemospermia. MATERIALS AND METHODS: A review of E-MRI findings observed in 86 patients with persistent hemospermia was performed and results compared with those rep...

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Main Author: Adilson Prando
Format: Article
Language:English
Published: Sociedade Brasileira de Urologia 2008-03-01
Series:International Brazilian Journal of Urology
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382008000200007
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author Adilson Prando
author_facet Adilson Prando
author_sort Adilson Prando
collection DOAJ
description OBJECTIVE: To present the spectrum of abnormalities found at endorectal magnetic resonance imaging (E-MRI), in patients with persistent hemospermia. MATERIALS AND METHODS: A review of E-MRI findings observed in 86 patients with persistent hemospermia was performed and results compared with those reported in the literature. Follow-up was possible in 37 of 86 (43%) patients with hemospermia. RESULTS: E-MRI showed abnormal findings in 52 of 86 (60%) patients with hemospermia. These findings were: a) hemorrhagic seminal vesicle and ejaculatory duct, isolated (n = 11 or 21%) or associated with complicated midline prostatic cyst (n = 10 or 19.0%); b) hemorrhagic chronic seminal vesiculitis, isolated (n = 14 or 27%) or associated with calculi within dilated ejaculatory ducts (n = 2 or 4 %); c) hemorrhagic seminal vesicle associated with calculi within dilated ejaculatory duct (n = 4 or 7.7%) or within seminal vesicle (n = 4 or 7.7%); d) non-complicated midline prostatic cyst (n = 6 or 11.5%); and e) prostate cancer (n = 1 or 2%). Successful treatment was more frequent in patients with chronic inflammatory and/or obstructive abnormalities. CONCLUSION: E-MRI should be considered the modality of choice, for the evaluation of patients with persistent hemospermia.
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spelling doaj.art-5d8c1bbfc0eb48bf9aa3b18918b880d52022-12-22T01:50:55ZengSociedade Brasileira de UrologiaInternational Brazilian Journal of Urology1677-55381677-61192008-03-0134217117910.1590/S1677-55382008000200007Endorectal magnetic resonance imaging in persistent hemospermiaAdilson PrandoOBJECTIVE: To present the spectrum of abnormalities found at endorectal magnetic resonance imaging (E-MRI), in patients with persistent hemospermia. MATERIALS AND METHODS: A review of E-MRI findings observed in 86 patients with persistent hemospermia was performed and results compared with those reported in the literature. Follow-up was possible in 37 of 86 (43%) patients with hemospermia. RESULTS: E-MRI showed abnormal findings in 52 of 86 (60%) patients with hemospermia. These findings were: a) hemorrhagic seminal vesicle and ejaculatory duct, isolated (n = 11 or 21%) or associated with complicated midline prostatic cyst (n = 10 or 19.0%); b) hemorrhagic chronic seminal vesiculitis, isolated (n = 14 or 27%) or associated with calculi within dilated ejaculatory ducts (n = 2 or 4 %); c) hemorrhagic seminal vesicle associated with calculi within dilated ejaculatory duct (n = 4 or 7.7%) or within seminal vesicle (n = 4 or 7.7%); d) non-complicated midline prostatic cyst (n = 6 or 11.5%); and e) prostate cancer (n = 1 or 2%). Successful treatment was more frequent in patients with chronic inflammatory and/or obstructive abnormalities. CONCLUSION: E-MRI should be considered the modality of choice, for the evaluation of patients with persistent hemospermia.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382008000200007hemospermiadiagnostic imagingmagnetic resonance imaging
spellingShingle Adilson Prando
Endorectal magnetic resonance imaging in persistent hemospermia
International Brazilian Journal of Urology
hemospermia
diagnostic imaging
magnetic resonance imaging
title Endorectal magnetic resonance imaging in persistent hemospermia
title_full Endorectal magnetic resonance imaging in persistent hemospermia
title_fullStr Endorectal magnetic resonance imaging in persistent hemospermia
title_full_unstemmed Endorectal magnetic resonance imaging in persistent hemospermia
title_short Endorectal magnetic resonance imaging in persistent hemospermia
title_sort endorectal magnetic resonance imaging in persistent hemospermia
topic hemospermia
diagnostic imaging
magnetic resonance imaging
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382008000200007
work_keys_str_mv AT adilsonprando endorectalmagneticresonanceimaginginpersistenthemospermia