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经尿道钬激光联合切除治疗完全性射精管梗阻

Hybrid method of transurethral resection of ejaculatory ducts using holmium:yttriumaluminium garnet laser on complete ejaculatory duct obstruction.

机构信息

Department of Urology, Severance Hospital, Urological Science Institute, Yonsei University College of Medicine, 50 Yonsei-ro, Seodaemun-gu, Seoul 120-752, Korea.

出版信息

Yonsei Med J. 2013 Jul;54(4):1062-5. doi: 10.3349/ymj.2013.54.4.1062.

DOI:10.3349/ymj.2013.54.4.1062
PMID:23709447
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3663216/
Abstract

A 32-year old single man presented with azoospermia and low semen volume which was noted one and half a year ago. Transrectal ultrasonography and seminal vesiculography were performed to evaluate ejaculatory duct obstruction, and transurethral resection of the ejaculatory duct was performed using a hybrid technique of holmium:yttriumaluminium garnet laser with monopolar transurethral resection to overcome the narrow prostatic urethra. To our knowledge, this is the first report on the successful outcome of a hybrid technique applied for transurethral resection of the ejaculatory duct.

摘要

一位 32 岁的单身男性出现无精子症和精液量低,这一情况是在一年半前发现的。经直肠超声检查和精囊造影术用于评估射精管梗阻,并使用钬:钇铝石榴石激光联合单极经尿道切除术的混合技术进行经尿道射精管切除术,以克服狭窄的前列腺尿道。据我们所知,这是首例成功应用混合技术进行经尿道射精管切除术的报道。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c73/3663216/ee015dacd7be/ymj-54-1062-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c73/3663216/f5d2db7a4ec0/ymj-54-1062-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c73/3663216/8bab56c789a9/ymj-54-1062-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c73/3663216/ee015dacd7be/ymj-54-1062-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c73/3663216/f5d2db7a4ec0/ymj-54-1062-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c73/3663216/8bab56c789a9/ymj-54-1062-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c73/3663216/ee015dacd7be/ymj-54-1062-g003.jpg

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Surgical management of male infertility: an update.男性不育的外科治疗:最新进展。
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本文引用的文献

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Reversible infertility associated with testosterone therapy for symptomatic hypogonadism in infertile couple.与症状性性腺功能减退症的睾酮治疗相关的可逆性不孕不育,发生于不孕夫妇中。
Yonsei Med J. 2013 May 1;54(3):702-6. doi: 10.3349/ymj.2013.54.3.702.
2
Transurethral seminal vesiculoscopy using a 6F vesiculoscope for ejaculatory duct obstruction: initial experience.使用6F精囊镜经尿道精囊镜检查治疗射精管梗阻:初步经验
J Androl. 2012 Jul-Aug;33(4):637-43. doi: 10.2164/jandrol.111.013912. Epub 2011 Nov 17.
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Imaging in male-factor obstructive infertility.
男性因素梗阻性不育的影像学检查
World J Radiol. 2010 May 28;2(5):172-9. doi: 10.4329/wjr.v2.i5.172.
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Transurethral resection of ejaculatory ducts in the treatment of complete ejaculatory duct obstruction.经尿道射精管切除术治疗完全性射精管梗阻
Int Urol Nephrol. 2008;40(2):369-72. doi: 10.1007/s11255-007-9273-z.
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Management of ejaculatory duct obstruction: etiology, diagnosis, and treatment.射精管梗阻的管理:病因、诊断与治疗
World J Urol. 2006 Dec;24(6):604-10. doi: 10.1007/s00345-006-0129-4.
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Transurethral resection of the ejaculatory ducts for treating ejaculatory symptoms.经尿道射精管切除术治疗射精相关症状。
BJU Int. 2005 Jan;95(1):117-9. doi: 10.1111/j.1464-410X.2004.05261.x.
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Diagnosis and treatment of ejaculatory duct obstruction in male infertility.男性不育症中射精管梗阻的诊断与治疗
Eur Urol. 2001 Jan;39(1):24-9. doi: 10.1159/000052408.
8
Surgical therapy in infertile men with ejaculatory duct obstruction: technique and outcome of a standardized surgical approach.射精管梗阻性不育男性的手术治疗:标准化手术方法的技术与结果
Hum Reprod. 2000 Jun;15(6):1364-8. doi: 10.1093/humrep/15.6.1364.
9
Seminal vesicle aspiration in the management of patients with ejaculatory duct obstruction.精囊抽吸术在射精管梗阻患者治疗中的应用
J Urol. 1994 Sep;152(3):899-901. doi: 10.1016/s0022-5347(17)32603-4.
10
Stenosis of ejaculatory ducts treated by endoscopic resection.经内镜切除术治疗射精管狭窄。
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