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逆行性射精由于后部尿道狭窄:一个罕见的案例报告
Lei Zheng1, Lihong Wang1, Hui Jiang2
1Department of Andrology and Sexual Medicine, The Second Hospital of Dalian Medical University, Dalian, China.
American journal of men's health
|September 13, 2024
概括
骨盆骨折可能导致尿道狭窄,导致逆行性射精. 在一项案例研究中,气球扩张改善了尿液流动,并部分恢复了前期射精.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 性医学性医学性医学性医学
- 创伤外科 手术 创伤外科
背景情况:
- 骨盆骨折经常导致尿道后部受伤,可能导致狭窄.
- 尿道狭窄可以显著损害性功能,包括射精.
- 逆行性射精是骨盆创伤和尿道重建后的常见并发症.
研究的目的:
- 描述一个患有长期的骨盆骨折相关的后尿道收缩的患者逆行性射精的管理.
- 评估尿道气球扩张在治疗这种特定疾病中的有效性.
- 为了利用跨直肠彩色多普勒超声波实时评估射精过程和精液动态.
主要方法:
- 逆行尿道图用于精确地定位和测量尿道狭窄.
- 通过直体彩色多普勒超声波被用来实时监测射精过程.
- 进行了尿道气球扩张,以缓解后部尿道狭窄.
主要成果:
- 在手术后,尿路阻塞症状完全消失.
- 患者经历了更好的射精能力,一些精液在外部射精.
- 跨直肠彩色多普勒超声波显示出混合的射精模式,前级和后级的精液流动.
结论:
- 尿道气球扩张是与骨盆骨折相关的后部尿道收缩的有效治疗方法,导致逆行性射精.
- 实时穿直肠彩色多普勒超声波提供了宝贵的洞察力射精动态紧缩治疗后.
- 这一案例突出了在复杂的创伤后尿道问题患者中恢复性功能的成功方法.
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