Magnetic resonance imaging in hemospermia

In R. Cho, Moo S. Lee, KoonHo Rha, Sung J. Hong, Seok S. Park, Myeong J. Kim

Research output: Contribution to journalArticle

49 Citations (Scopus)

Abstract

Purpose: We evaluated the prostate and seminal tract with magnetic resonance imaging (MRI) in patients with hemospermia. Materials and Methods: 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). Results: 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 mullerian and 5 in the ejaculatory ducts. Of 19 cases calculi were detected in the prostate in 5, seminal vesicle in 8, and ejaculatory and mullerian 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. Conclusions: 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.

Original languageEnglish
Pages (from-to)258-262
Number of pages5
JournalJournal of Urology
Volume157
Issue number1
DOIs
Publication statusPublished - 1997 Jan 1

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Hemospermia
Ejaculatory Ducts
Magnetic Resonance Imaging
Prostate
Seminal Vesicles
Cysts
Wolffian Ducts
Ureterocele
Mullerian Ducts
Calculi
Atrophy
Ultrasonography
Hemorrhage
Kidney

All Science Journal Classification (ASJC) codes

  • Urology

Cite this

Cho, I. R., Lee, M. S., Rha, K., Hong, S. J., Park, S. S., & Kim, M. J. (1997). Magnetic resonance imaging in hemospermia. Journal of Urology, 157(1), 258-262. https://doi.org/10.1016/S0022-5347(01)65340-0
Cho, In R. ; Lee, Moo S. ; Rha, KoonHo ; Hong, Sung J. ; Park, Seok S. ; Kim, Myeong J. / Magnetic resonance imaging in hemospermia. In: Journal of Urology. 1997 ; Vol. 157, No. 1. pp. 258-262.
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Cho, IR, Lee, MS, Rha, K, Hong, SJ, Park, SS & Kim, MJ 1997, 'Magnetic resonance imaging in hemospermia', Journal of Urology, vol. 157, no. 1, pp. 258-262. https://doi.org/10.1016/S0022-5347(01)65340-0

Magnetic resonance imaging in hemospermia. / Cho, In R.; Lee, Moo S.; Rha, KoonHo; Hong, Sung J.; Park, Seok S.; Kim, Myeong J.

In: Journal of Urology, Vol. 157, No. 1, 01.01.1997, p. 258-262.

Research output: Contribution to journalArticle

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N2 - Purpose: We evaluated the prostate and seminal tract with magnetic resonance imaging (MRI) in patients with hemospermia. Materials and Methods: 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). Results: 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 mullerian and 5 in the ejaculatory ducts. Of 19 cases calculi were detected in the prostate in 5, seminal vesicle in 8, and ejaculatory and mullerian 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. Conclusions: 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.

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