射精管囊模仿TURP后射精功能障碍:在患有血清水和低血清水的患者中,这是一个诊断挑战
Youssef Maachi1, Youssef Bentalb1, Amine Zaki1
1Department of Urology B, CHU Ibn Sina, Faculty of Medicine and Pharmacy, Mohamed V University, Rabat, Morocco.
Urology case reports
|January 9, 2026
概括
射精管囊是前列腺手术后的罕见并发症. 这个案例突出了一个60岁的男子经历了 TURP 后的精和低精,通过MRI 和囊镜诊断出来.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 安德罗学与人类学
- 医疗成像医学成像
背景情况:
- 射精管囊是一种不常见的泌尿病状况.
- 诊断可能具有挑战性,特别是在前列腺手术后,如通过尿道切除前列腺 (TURP).
- 症状可能包括精子和精液参数降低.
研究的目的:
- 报告一个在TURP后出现的射精管囊病例.
- 为了说明这种病例的诊断方法和管理考虑.
主要方法:
- 一个60岁的男性患者的病例报告.
- 通过尿道切除前列腺 (TURP) 治疗良性前列腺增生.
- 盆腔磁共振成像 (MRI) 用于囊的识别.
- 囊镜检查以确认.
- 精液分析以评估生育能力参数.
主要成果:
- 一个12毫米的射精管囊被确定在TURP后的verumontanum以上.
- 患者呈现出血清和低精子 (0.8毫升体积,8百万/毫升精子数,15%的运动率).
- 射精后的尿液分析显示了亚精子症.
- 由于囊的大小,保持射精功能,年龄和完成的计划生育,选择了保守的监测.
结论:
- 射精管囊可以在前列腺手术后出现.
- 核磁共振和囊镜是有价值的诊断工具.
- 对于精射管囊的某些患者,保守的治疗可能是适当的.
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