Liu Changkun, Song Zhen, Dun Yunfei, Zhang Shengli, Wang Zengjun
Department f Urology, Subei Poeple's Hospital, Yangzhou Jiangsu 225001, China.
Department of Urology, First Affiliated Hospital, Nanjing Medical University, Nanjing 210029, China.
Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2015 Jun;40(6):670-3. doi: 10.11817/j.issn.1672-7347.2015.06.016.
To evaluate the feasibility and efficacy of transurethral electrotomy combined with seminal vesiculoscopy ejaculatory duct dilatation in treating patients with Müllerian duct cyst.
We retrospectively analyzed 12 infertile men due to Müllerian duct cyst between 2009 and 2012. They were diagnosed by semen analysis (including quantity of semen, pH and fructose), digital rectal examination, transrectal ultrasonography, magnetic resonance images and aspiration biopsy when necessary. All patients were treated by transurethral electrotomy combined with seminal vesiculoscopy ejaculatory duct dilatation and were followed up for 12 months.
A significant improvement of semen quality was achieved after surgery and the sperms could be seen. The patients' semen was analyzed for 3 times in 12 months and the results were normal. Semen volume and pure berries of the patients were increased after the operation compared with those before the operation (P<0.05). Spontaneous pregnancies were achieved in 3 patients 9-12 months after surgery. Four patients' seminal vesicle became smaller obviously.
Transurethral electrotomy combined with seminal vesiculoscopy ejaculatory duct dilatation is effective and safe for the treatment of Müllerian duct cyst accompanied with ejaculatory duct obstruction.
评估经尿道电切术联合精囊镜射精管扩张术治疗苗勒管囊肿患者的可行性和疗效。
回顾性分析2009年至2012年间12例因苗勒管囊肿导致不育的男性患者。通过精液分析（包括精液量、pH值和果糖）、直肠指检、经直肠超声、磁共振成像及必要时的穿刺活检进行诊断。所有患者均接受经尿道电切术联合精囊镜射精管扩张术治疗，并随访12个月。
术后精液质量显著改善，可见精子。患者在12个月内进行了3次精液分析，结果均正常。术后患者精液量和精子浓度较术前增加（P<0.05）。3例患者在术后9至12个月自然受孕。4例患者的精囊明显变小。
经尿道电切术联合精囊镜射精管扩张术治疗伴有射精管梗阻的苗勒管囊肿有效且安全。
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