Đánh giá kết quả phẫu thuật nội soi ổ bụng cắt u túi tinh điều trị xuất tinh máu tại Trung tâm Nam học, Bệnh viện Hữu nghị Việt Đức

Hematospermia, or blood in the semen, is a common and often distressing symptom that can be caused by seminal vesicle tumors. Despite its significance, comprehensive research on seminal vesicle tumors, particularly concerning their surgical management and diverse histopathological characteristics, remains limited, frequently appearing as isolated case reports. The current understanding of optimal treatment strategies, especially for these rare tumor types, is still evolving. This study aims to address this knowledge gap by evaluating the outcomes of laparoscopic resection for seminal vesicle tumors causing hematospermia and to characterize their histopathological features, thereby contributing valuable insights for clinical practice.

Urologists, andrologists, general surgeons, oncologists, and medical researchers interested in genitourinary oncology and minimally invasive surgical techniques.

This retrospective cross-sectional study investigated the outcomes and histopathological features of seminal vesicle tumors treated with laparoscopic resection in 8 patients experiencing hematospermia at Viet Duc University Hospital between January 2021 and January 2025. The methodology involved analyzing patient demographics, tumor characteristics, surgical parameters, and post-operative outcomes. Key findings indicated that the average patient age was 49.25 years, with a mean tumor size of 9.6 cm. Laparoscopic surgery averaged 102.3 minutes, with minimal blood loss and an average hospital stay of 5.12 days. The procedure demonstrated high safety, as no intraoperative complications or conversions to open surgery occurred. Histopathological analysis revealed a diverse spectrum of tumor types: hemorrhagic seminal vesicle cysts (50%), malignant lymphoma (25%), Schwannoma (12.5%), and mixed epithelial and stromal tumors (12.5%). Post-operatively, all patients achieved normal ejaculation without hematospermia, and importantly, erectile function remained unimpaired. While one patient with lymphoma experienced recurrence, overall, the study affirmed the efficacy of laparoscopic seminal vesicle resection. This approach is safe and effective for managing seminal vesicle tumors, particularly those presenting with hematospermia, and its applicability depends on tumor location and size. Caution is advised for tumors larger than 14 cm. These findings underscore the value of minimally invasive surgical techniques in preserving quality of life while effectively treating this condition.