Liguori G, Bucci S, Paolinelli D, Ricci D, Buttazzi L, Trombetta C, Belgrano E
Clinica Urologica, Università degli Studi di Trieste.
Arch Ital Urol Androl. 2000 Dec;72(4):357-60.
Prostatic cysts are rare; they are to be considered in the evaluation of obstructive azoospermia. A correct diagnosis is based on transrectal ultrasound of the prostate. Herein we describe our experience with perineal ultrasound cyst aspiration. During the last 10 years, 21 infertile patients underwent ultrasound puncture of an intraprostatic cyst. Patients were placed in the lithotomy position, a 16 G needle was adopted; by means of ultrasound was possible to follow the needle entering the cyst. The content was aspirated and, if no spermatozoa were detected in the cystic liquid, sclerosing agents were introduced. The technique was performed successfully in all patients with symptomatic cyst within the prostate. Follow-up prostatic ultrasound and semen analysis were performed in 17 patients. There was 1 recurrence that was aspirated again. In 12 cases an increase in sperms number and motility was obtained, in 3 cases oligoastenospermia remained unchanged and 2 patients are still azoospermic. In 3 cases the partners become pregnant.
前列腺囊肿罕见；在评估梗阻性无精子症时应考虑到它们。正确的诊断基于经直肠前列腺超声检查。在此我们描述我们会阴超声引导下囊肿穿刺的经验。在过去10年中，21例不育患者接受了前列腺内囊肿的超声穿刺。患者取截石位，采用16G针；借助超声能够跟踪针进入囊肿。抽出内容物，如果在囊液中未检测到精子，则注入硬化剂。该技术在所有前列腺内有症状囊肿的患者中均成功实施。对17例患者进行了随访前列腺超声检查和精液分析。有1例复发，再次进行了抽吸。12例患者精子数量和活力增加，3例少弱精子症患者情况未变，2例患者仍为无精子症。3例患者的配偶怀孕。
