Hamada Akihiro, Hattahara Kodai, Oyama Rie, Hirayama Kazuhide, Masui Kimihiko, Shichiri Yasumasa
The Department of Urology, Otsu City Hospital.
The Department of Urology, Harasanshin Hospital.
Hinyokika Kiyo. 2017 Dec;63(12):533-535. doi: 10.14989/ActaUrolJap_63_12_533.
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.
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。
