Miyazaki Shinya, Ueda Takashi, Tsujimoto Masashi, Soh Jintetsu, Ukimura Osamu
Department of Urology, Kyoto Prefectural University of Medicine, Kyoto, JPN.
Department of Urology, Japanese Red Cross Society Kyoto Daini Hospital, Kyoto, JPN.
Cureus. 2025 Apr 8;17(4):e81917. doi: 10.7759/cureus.81917. eCollection 2025 Apr.
Seminal vesicle (SV) and prostatic abscesses are rare urological infections. However, their effect on sexual function remains unknown. In the present study, we encountered a case of SV atrophy and ejaculatory dysfunction (EjD) after conservative treatment. The patient was a 56-year-old man with fever who complained of pain during urination. He was diagnosed with SV and prostate abscesses and treated conservatively with antibiotics. One month after treatment, an EjD was observed, and magnetic resonance imaging revealed severe atrophy of the SV. Although various treatments for these symptoms, such as tadalafil and testosterone replacement therapy, were administered, the symptoms did not improve. Here, we report a case of EjD associated with SV and prostate abscesses. Factors leading to SV atrophy are unknown; however, complications should be noted.
精囊（SV）和前列腺脓肿是罕见的泌尿系统感染。然而，它们对性功能的影响尚不清楚。在本研究中，我们遇到了一例经保守治疗后出现精囊萎缩和射精功能障碍（EjD）的病例。患者为一名56岁男性，发热，伴有排尿时疼痛。他被诊断为精囊和前列腺脓肿，并接受了抗生素保守治疗。治疗一个月后，观察到射精功能障碍，磁共振成像显示精囊严重萎缩。尽管对这些症状进行了各种治疗，如他达拉非和睾酮替代疗法，但症状并未改善。在此，我们报告一例与精囊和前列腺脓肿相关的射精功能障碍病例。导致精囊萎缩的因素尚不清楚；然而，应注意并发症。
