Seminal Vesicle Examination: Procedure, Duration, and Precautions - Urology

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The seminal vesicle examination, often performed using a procedure called transrectal ultrasound (TRUS) or seminal vesiculography, is a diagnostic tool used to evaluate the seminal vesicles, which are glands that produce a significant portion of the fluid that makes up semen. This examination can help diagnose conditions such as seminal vesiculitis, cysts, or tumors.


Procedure
1. Preparation: Before the examination, patients may be advised to empty their bladder and rectum. Some practitioners may recommend a light diet the day before the procedure to minimize discomfort.

2. Positioning: The patient is typically positioned lying on their side or in a knee-chest position to facilitate access to the rectum.

3. Transrectal Ultrasound (TRUS): A lubricated ultrasound probe is gently inserted into the rectum. This probe emits sound waves that create images of the seminal vesicles and surrounding structures. The procedure is usually performed by a urologist or a trained technician.

4. Duration: The entire procedure usually takes about 15 to 30 minutes, depending on the complexity of the examination and whether additional imaging or assessments are required.

5. Seminal Vesiculography: In some cases, a contrast dye may be injected into the seminal vesicles through a catheter inserted into the urethra. This allows for X-ray imaging of the vesicles to identify any abnormalities.


Precautions
- Informed Consent: Patients should be informed about the procedure, its purpose, and any potential risks involved. Consent should be obtained before proceeding.


- Infection Risk: There is a slight risk of infection due to the invasive nature of the procedure. Patients may be advised to take antibiotics before or after the examination, especially if they have a history of urinary tract infections.

- Discomfort: While the procedure is generally well-tolerated, some patients may experience discomfort or pressure during the insertion of the probe. It is essential to communicate any discomfort to the healthcare provider.

- Post-Procedure Care: After the examination, patients may be advised to rest and drink plenty of fluids. They should also be informed about signs of complications, such as fever, increased pain, or bleeding, which should prompt immediate medical attention.


Conclusion
In summary, the seminal vesicle examination is a valuable diagnostic tool that can provide insights into male reproductive health. It is performed through the rectum using ultrasound or contrast imaging techniques. The procedure is relatively quick, lasting about 15 to 30 minutes, and requires some precautions to ensure patient safety and comfort. If you have any further questions or concerns about the procedure, it is always best to discuss them with your healthcare provider, who can provide personalized advice based on your medical history and current health status.