Satariano Matthew, Green Olivia, Parekh Neel
Northeast Ohio Medical University, 4209 St. Rt. 44, PO Box 95, Rootstown, OH, 44272, United States.
Cleveland Clinic Akron General, 1 Akron General Avenue, Akron, OH, 44307, United States.
Urol Case Rep. 2023 Aug 21;50:102541. doi: 10.1016/j.eucr.2023.102541. eCollection 2023 Sep.
Hematospermia is a common, but anxiety-provoking genitourinary condition. In instances without spontaneous resolution, pharmacologic intervention with a 5-alpha reductase inhibitor has been shown to be successful. In cases of refractory hematospermia, robotic-assisted laparoscopic seminal vesiculectomy may provide a definitive treatment option. A robotic-assisted bilateral seminal vesiculectomy was performed on a 42-year-old male with refractory painless hematospermia after failing conservative management. Three months post-operatively, the patient reported resolution of hematospermia after six ejaculations with no impact on erectile function. The robotic-assisted approach is safe and feasible with good functional outcomes and reduced morbidity.
血精症是一种常见但令人焦虑的泌尿生殖系统疾病。在无法自行缓解的情况下，使用5-α还原酶抑制剂进行药物干预已被证明是成功的。对于难治性血精症，机器人辅助腹腔镜精囊切除术可能提供一种确定性的治疗选择。对一名42岁男性进行了机器人辅助双侧精囊切除术，该患者在保守治疗失败后患有难治性无痛血精症。术后三个月，患者报告在六次射精后血精症消失，且对勃起功能无影响。机器人辅助手术方法安全可行，功能效果良好，发病率降低。
