治疗引起严重下尿路症状的前位中线前列腺囊肿的新技术：病例报告及文献综述
New technique for the management of anteriorly located midline prostatic cysts causing severe lower urinary tract symptoms: Case report and literature review.
作者信息
Al-Nasser Khalid Abdulrahman, Almannie Raed Mohammed
机构信息
Division of Urology, Department of Surgery of Medicine and King Saud University Medical City, King Saud University, Saudi Arabia.
Division of Urology, Department of Surgery of Medicine and King Saud University Medical City, King Saud University, Saudi Arabia.
出版信息
Int J Surg Case Rep. 2019;55:107-111. doi: 10.1016/j.ijscr.2019.01.019. Epub 2019 Jan 29.
INTRODUCTION
Prostatic cysts are uncommon and usually asymptomatic. In most cases, these cysts are found incidentally by imaging. In some cases, these cysts can be symptomatic and missed for years.
CASE REPORT
We report the case of a 36-year-old male patient presented with a 3-year history of weak urine stream, dysuria, frequency and urgency. Ultrasound, computed tomography and magnetic resonance imaging demonstrated a prostatic cyst measuring 1.5*1.2 cm occupying the bladder outlet and causing obstruction. Transverse incision of the cyst provided a satisfactory resolution of the patient's complaint.
CONCLUSION
Incision of a symptomatic midline anterior prostatic cyst is a safe and effective management option with no potential risk of retrograde ejaculation.
引言
前列腺囊肿并不常见，通常无症状。大多数情况下，这些囊肿是在影像学检查时偶然发现的。在某些情况下，这些囊肿可能有症状，但多年来一直被漏诊。
病例报告
我们报告一例36岁男性患者，有3年尿流变弱、排尿困难、尿频和尿急的病史。超声、计算机断层扫描和磁共振成像显示一个1.5×1.2厘米的前列腺囊肿，占据膀胱出口并造成梗阻。囊肿横向切开后，患者的症状得到了满意的缓解。
结论
有症状的中线前部前列腺囊肿切开术是一种安全有效的治疗选择，不存在逆行射精的潜在风险。
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