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[伴有勃起后血尿导致反复尿潴留的尿道血管瘤]

[Urethral Hemangioma with Repeated Urinary Retention by Posterection Hematuria].

作者信息

Hamada Akihiro, Hattahara Kodai, Oyama Rie, Hirayama Kazuhide, Masui Kimihiko, Shichiri Yasumasa

机构信息

The Department of Urology, Otsu City Hospital.

The Department of Urology, Harasanshin Hospital.

出版信息

Hinyokika Kiyo. 2017 Dec;63(12):533-535. doi: 10.14989/ActaUrolJap_63_12_533.

Abstract

A 73-year-old man presented to our hospital due to postejaculation gross hematuria and dysuria. Three months after onset, urinary retention occurred repeatedly. Under general anesthesia, cystourethroscopy following drug-induced erection was performed. A solitary sessile lesion with varicosis was found between the verumontanum and external sphincter. The tumor was resected endoscopically and recurrence was not observed during the follow-up period. Histological examination revealed a cavernous hemangioma of the urethra. Urologists should keep in mind that urethral hemangioma can be a cause of hematuria after erection or ejaculation.

摘要

一名73岁男性因射精后肉眼血尿和排尿困难前来我院就诊。发病三个月后,反复出现尿潴留。在全身麻醉下,进行了药物诱导勃起后的膀胱尿道镜检查。在精阜和外括约肌之间发现一个孤立的有静脉曲张的无蒂病变。通过内镜切除肿瘤,随访期间未观察到复发。组织学检查显示为尿道海绵状血管瘤。泌尿外科医生应牢记,尿道血管瘤可能是勃起或射精后血尿的一个原因。

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