Yu Jian-jun, Xu Yue-Min, Zhang Jiong, Liu Zhang-Shun, Zhang Xin-Ru, Chen Rong
Department of Urology, the 6th People's Hospital Affliated to Shanghai Jiaotong Universiy, Shanghai 200233, China.
Zhonghua Nan Ke Xue. 2008 Mar;14(3):231-3.
To study the etiopathogenesis and management of seminal vesicle enlargement.
Forty-six cases of seminal vesicle were selected, of which 36 were vesiculitis, treated by antibiotics through a catheter indwelt in the seminal vesicle for 1 week, 3 were cystic vesicular seminalis, given anti-inflammatory treatment by catheter administration and hydatid fluid inhalation, 1 was calculus at the orifice of the ejaculatory duct, taken out by transurethral resection of the verumontanum, 1 was polypous at the orifice of the verumontanum, removed by transurethral resection, 2 were posterior urethritis, treated by fulguration, and 3 were prostatic carcinoma, treated by radical prostatectomy and spermatocystotomy.
Hemospermia disappeared in 32 cases of vesiculitis during the 6-24 months follow-up, 4 cases experienced recurrent hemospermia 3 months after the treatment. No recurrence was observed in any other case of cystic vesicular seminalis, calculus, polypous, posterior urethritis and prostatic carcinoma.
Seminal vesicle enlargement has intricate etiopathogenesis, but can be treated with satisfactory results if managed properly.
探讨精囊增大的病因及治疗方法。
选取46例精囊疾病患者，其中精囊炎36例，经精囊置管注入抗生素治疗1周；精囊囊肿3例，经导管给药及囊肿穿刺抽液并注入抗炎药物治疗；射精管口结石1例，经尿道前列腺电切术切除结石；精阜息肉1例，经尿道电切术切除息肉；后尿道炎2例，行电灼治疗；前列腺癌3例，行前列腺根治术及精囊切开术。
精囊炎患者32例在随访6～24个月期间血精消失，4例治疗后3个月复发。精囊囊肿、结石、息肉、后尿道炎及前列腺癌患者均无复发。
精囊增大病因复杂，但合理治疗效果满意。
