Kanemiya Taketoshi, Arai Hiroki, Murosaki Nobukazu, Honda Masahito, Yosida Kyotaro
The Department of Urology, Kinki Chuo Hospital, Japan.
Hinyokika Kiyo. 2012 Mar;58(3):173-5.
A 54-year-old man visited our clinic for dysuria. Transabdominal ultrasonography revealed a multilocular cyst at the neck of the bladder, and a cystoscopy revealed obstruction of the neck of the bladder. Dysuria improved after tamsulosin treatment was initiated, and abdominal magnetic resonance imaging (MRI) showed disappearance of the cyst. The patient had urinary difficulty again after 2 years. An MRI and cystoscopy revealed recurrence of the cyst. Tamsulosin administration was reinitiated, but his urinary difficulty did not improve. Transurethral resection of the cystic wall was performed. Histopathological examination indicated a retention cyst.
一名54岁男性因排尿困难前来我院就诊。经腹超声检查发现膀胱颈部有一个多房性囊肿,膀胱镜检查显示膀胱颈部梗阻。开始使用坦索罗辛治疗后,排尿困难有所改善,腹部磁共振成像(MRI)显示囊肿消失。2年后患者再次出现排尿困难。MRI和膀胱镜检查显示囊肿复发。重新开始使用坦索罗辛,但排尿困难并未改善。遂行经尿道囊肿壁切除术。组织病理学检查提示为潴留性囊肿。