Efficacy of various surgical approaches in treating hematospermia using transurethral seminal vesiculoscopy

To explore the efficacy of different approaches of seminal vesiculoscopy surgery and the predictive factors of good treatment outcome. A retrospective analysis of 68 patients who underwent seminal vesiculoscopy for hematospermia in our hospital from January 2015 to January 2021. According to different surgical approaches, they were divided into three groups: natural ejaculatory ducts (method A, 45 cases), assisted transurethral resection/incision of ejaculatory ducts (method B, 14 cases), fenestration in prostatic utricle (method C, 9 cases). We analyzed the recurrence rate of the three surgical approaches and the predictive factors of treatment efficacy. The total recurrence rate after the seminal vesiculoscopy for hematospermia in this group was 32.35