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A conventional procedure for treating hematospermiais to insert a ureteroscope or seminal vesiculoscope into the prostatic utricle through the urethra,and then dilate the ejaculatory duct opening using the scope or the catheter.However,the ejaculatory duct stenosis may occur after the simple ureteroscopy.We compared the outcomes of treating hematospermia using holmium laser incision through a ureteroscope and using simple ureteroscopy.Retrospective method was used to analyze 67 intractable hematospermia cases.