经尿道精囊囊肿去顶减压术的应用

目的 探讨经尿道囊肿去顶减压术在精囊囊肿治疗中的效果.方法 对7例经B超、CT、MRI及膀胱镜诊断为精囊囊肿的患者行经尿道囊肿去顶术并随访.结果 手术顺利,平均手术时间20 min,平均手术出血量5 ml,平均住院时间3 d,术后平均随访28.3个月,患者临床症状均消失,未见复发,1例逆行射精.3例术前未育患者中2例术后1年生育;1例术后因逆行射精,将尿液中精子行卵胞质内单精子注射术治疗,术后半年生育.结论 经尿道囊肿去顶术具有创伤小,手术时间和术后住院时间短、术后恢复快的特点,是精囊外科手术治疗中的有效治疗方法.

Transurethral unroofing in seminal vesicle cyst

Objective To investigate the effects of transurethral unroofing in treatment of seminal vesicle cyst.Methods Seven patients seminal vesicle cyst 2.1 cm×3.0 cm×3.3 cm-5.5 em×6.3 cm×10.2 cm in size,aged 36(21-65),with the symptoms of hematospermia(4 cases),hematuria (3 cases),epididymitis(2 cases),dysuria(1 case),bladder irritation symptoms(1 case),bloody mucus of urethral orifice after emiction(1 case),perineal discomfort(2 case),and infertility(3 cases),underwent transurethral unroofing of seminal vesicle cyst.Results Operation was performed successful on all 7 patients.The mean operative time was 20 min,the mean estimated operative blood lOSS was 5 ml,and the mean hospital stay was 3 d.Follow.up was conduced for 28.3 months(8 months-10 years).All patients were free of symptoms after surgery,witllout recurrence and complications t11at needed further therapy.Two of the 3 patients with infertility succeeded in fertilization 1 year after surgery,and 1 patient with retrograde ejaculation underwent intracytoplasimc sperm injection and succeeded in fertilization 6 months after operation.Condusion Transurethral unroofing provides an effective approach to tlle seminal vesicle cyst witll minimal invasion,short hospitalization,and rapid recovery.