Mizoguchi H, Fukunaga Y, Kasagi Y, Ogata J
Department of Urology, Oita Medical University, Japan.
Nihon Hinyokika Gakkai Zasshi. 1994 Oct;85(10):1567-70. doi: 10.5980/jpnjurol1989.85.1567.
A rare case of bilateral spermatocele developed 17 years after vasectomy was presented. A forty-seven year old man visited to our hospital with a chief complaint of swelling of bilateral intrascrotal contents. Sonographic findings demonstrated multilocular lesions of the bilateral intrascrotal contents. Operative procedure revealed bilateral cysts originating from the caput of the epididymis. Bilateral epididymectomy were performed. It was diagnosed as spermatocele because of demonstration of spermatozoa in the cystic fluid. We concluded that bilateral spermatocele has been induced by prolonged increased pressure of the intraepididymal duct following vasectomy 17 years ago.
本文报告1例输精管结扎术后17年发生的双侧精索囊肿罕见病例。一名47岁男性因双侧阴囊内容物肿胀为主诉前来我院就诊。超声检查发现双侧阴囊内容物呈多房性病变。手术过程显示双侧囊肿起源于附睾头部。遂行双侧附睾切除术。因囊液中发现精子，诊断为精索囊肿。我们得出结论，双侧精索囊肿是由17年前输精管结扎术后附睾内导管压力长期升高所致。
