Ishida Kenichiro, Yuhara Kazuya, Kanimoto Yuusuke
The Department of Urology, Kakegawa Municipal Hospital.
Hinyokika Kiyo. 2006 Mar;52(3):219-22.
A 40-year-old man with dysuria was referred to our department on November, 18, 2004. A transabdominal ultrasonography revealed a cystic mass arising from his bladder neck. Computed tomography and magnetic resonance imaging revealed the cyst to be homogeneous and ovally shaped with a clear margin. Bilateral vasography showed the compression of the left seminal vesicle by the cyst and there was communication between the cyst and the left seminal vesicle for diagnosis of the seminal vesicle cyst, percutaneous needle aspiration was performed. The aspirated fluid included microscopical spermatozoa and proved negative for cytology. Absolute ethanol was injected into the cyst and transurethral unroofing of the cyst was performed on January 14, 2005. The prostate was resected until we reached into the cyst.
一名40岁的尿痛男性患者于2004年11月18日转诊至我科。经腹超声检查发现膀胱颈部有一囊性肿物。计算机断层扫描和磁共振成像显示该囊肿呈均匀的椭圆形,边界清晰。双侧输精管造影显示囊肿压迫左侧精囊,且囊肿与左侧精囊相通,为诊断精囊囊肿,进行了经皮穿刺抽吸。抽吸液中含有显微镜下可见的精子,细胞学检查为阴性。2005年1月14日,向囊肿内注入无水乙醇,并行经尿道囊肿去顶术。切除前列腺直至进入囊肿。