Seminal Vesiculoscopy for Diagnosis and Management of Hematospermia

The document discusses a case of a 28-year-old male patient with refractory hematospermia and dysorgasmia, who had not responded to conventional treatments. The patient underwent a procedure involving seminal vesiculoscopy, transurethral resection of ejaculatory ducts (TURED), and seminal vesicle (SV) balloon dilation. The procedure involved the removal of significant debris and blood clots from the seminal vesicles. The patient reported significant improvement in dysorgasmia and complete resolution of hematospermia at six- and twelve-months follow-up. The study concludes that seminal vesiculoscopy with TURED and balloon dilation is an effective procedure for hematospermia that is refractory to medical therapy in appropriately selected patients.