Xu Li-Wei, Cheng Sheng, Zhang Zhi-Gen, Li Xin-De
Department of Urology, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang 310016, China.
Zhonghua Nan Ke Xue. 2009 Apr;15(4):357-9.
To investigate the transvesical approach to the surgical treatment of seminal vesicle mass.
Transvesical removal of seminal vesicle mass was performed for 5 patients aged 45-69 (mean 51) years. The clinical symptoms included those involving the lower urinary tract such as frequent micturition and urgency in 3 cases (1 accompanied with dyschezia), hematospermia in 1, and lower abdominal and perineal malaise in the other. Two masses were in the left side and the other 3 in the right, ranging from 3 to 10 cm (mean 5 cm) in size, detected by transrectal ultrasonography, CT, MRI or digital rectal examination. The mean course of disease was 9 (2-18) months.
All the 5 patients were treated successfully and uneventfully, with a mean operation time of 75 minutes, a mean blood loss of 140 ml and a mean hospital stay of 10 days. Pathological examinations revealed 2 cases of seminal vesicle cyst with infection, 1 cystadenoma, 1 phyllode tumor and 1 prostatic hyperplasia. A 3-72 months follow-up showed that all the patients were free of symptoms and had normal sexual function.
Transvesical removal of seminal vesicle mass, with small incisal opening, good visual field and easy operation, is an effective surgical procedure for seminal vesicle disease.
探讨经膀胱途径手术治疗精囊肿物。
对5例年龄45 - 69岁（平均51岁）的患者行经膀胱精囊肿物切除术。临床症状包括下尿路症状，如3例尿频、尿急（其中1例伴有排便困难），1例血精，另1例下腹及会阴不适。经直肠超声、CT、MRI或直肠指诊发现，2例肿物位于左侧，3例位于右侧，大小3 - 10 cm（平均5 cm）。病程平均9（2 - 18）个月。
5例患者均成功顺利完成手术，平均手术时间75分钟，平均出血量140 ml，平均住院时间10天。病理检查显示2例精囊囊肿伴感染，1例囊腺瘤，1例叶状肿瘤，1例前列腺增生。随访3 - 72个月，所有患者均无症状，性功能正常。
经膀胱切除精囊肿物，切口小，视野好，操作简便，是治疗精囊疾病的有效手术方法。
