Seminal Vesiculoscopy:recent case in prostatic utricular cyst

MRI SHOWING SEMINAL VESICULAR DILATATION

We operated a total 8 cases of seminal vesicle obstcruction over last year.

All had low volume ejaculate,azoospermia or severe oligospermia or hematospermia.Out of them;two cases of hematospermia totally resolved after the surgery.

Out of six cases of azoospermia(out of six); four improved- one couple even concieved.Two patients didnot improve.

This shows a great future for seminal vesiculoscopy in obstructive azoopsermia and also hematospermia.It helps in hematospermia.In one case it abated as we did removal of the seminal vesicle calculus in other case there was only congestive hematospermia.It probably helps in idiopathic hematospermia by decreasing the intraseminal vesicular pressures.

Ureterosigmoidostomy Follow up

We had operated 45 year old lady - radical cystectomy and ureterosigmoidostomy for TCC bladder.She underwent the surgery uneventfully.

Post-operatively on 1 year follow up she underwent CECT urogram.Here is the scan photograph showing the ureteral anatomy.

Her hematological/biochemical and VBG analysis was essentially normal.She was passing urine every 1 hourly as per our instrcutions and was leading a very good quality of life.

The ureterosigmoidostomy had fallen out of favour recently due to advent of newer continent diversions like orthotopic diversions.But in select cases ureterosigmoidostomy can offer equal quality of life like orthotopic diversion.

transitional cell carcinoma with staghorn calculus

We operated a case of renal tumor invading the descending colon .He underwent left radical nephrectomy with En Bloc Resection of the intestinal segment.

The patient was having staghorn calculus and nonfunctioning kidney.He was asymptomatic.

He underwent periodic imaging and blood biochemistry studies.This time he presented with signs of constitutional symptoms and dull continuous pain in the left flank.

His ultrasound showed mass in the kidney.He was further evaluated with Triphasic CT scan which revealed left renal mass with obscured planes with the descending colon and staghorn calculus.

He was taken up for surgery in view of his metastatic work up was essentially normal.

In 2 months postoperative period he is doing well and planned for palliative chemo/radiotherapy.