射精管囊肿合并前列腺小囊结石1例及文献复习

目的:探讨精囊镜在血精症的诊断治疗中发挥的作用。探讨血精症病因、诊断及手术探查的必要性。方法:回顾性分析于2020年9月21日入暨南大学附属广州红十字会医院的1例右侧射精管囊肿合并前列腺小囊结石患者的诊疗经过。综合文献报道，对该病诊断与治疗策略等问题进行讨论。结果:患者因精液带血入院。术中可见右侧精囊开口肿大，精囊镜进...

Ejaculatory duct cyst complicated with prostatic cyst stones: a case report and literature review

Objective　To investigate the clinical application value of transurethral seminalvesiculoscopy technique in the diagnosis and treatment of hemospermia, and toexplore the etiologies, diagnosis, and necessity of surgical operation ofhemospermia. Methods　We retrospectivelyanalyzed the diagnosis and treatment of a case of right ejaculatory duct cystcomplicated with prostatic cyst calculi admitted to Guangzhou Red CrossHospital Affiliated to Jinan University on September 21, 2020. According toliteratures reported, we discussed the diagnosis and treatment strategies ofhemospermia. Results　The patient wasadmitted for hematospermia, the right seminal vesicle opening swollen showedduring operation, which resulted in seminal vesiculoscopy entering difficultly.A large number of calculi were found on the right side of the prostaticcapsule, and the wall of the right small cyst had oozing and edema. The calculiwere crushed and removed. The curative effect was satisfactory after 1 month'sfollow-up. Conclusion　The etiology ofhemospermia is various, and transurethral seminal vesiculoscopy has animportant value in the diagnosis and treatment of the disease.