Dik P, Lock T M, Schrier B P, Boon T A
Department of Urology, Central Military Hospital and University Hospital, Urecht, The Netherlands.
J Urol. 1996 Apr;155(4):1301-4.
The results of transurethral marsupialization as treatment for medial prostatic cysts were assessed.
Between June 1992 and August 1994 we performed transrectal ultrasound on 704 patients with symptoms of bladder outlet obstruction or lower urinary tract symptoms and a medical prostatic cyst was found in 34 (5%). Transurethral marsupialization of the cyst via incision of the prostatic floor under transrectal ultrasound guidance was performed in 18 patients. Followup was 12 to 25 months (mean 18).
Patients with a medial prostatic cyst complained of prostatitis-like symptoms (77%), scrotal pain (62%), impaired micturition (32%), small volume ejaculation (35%), painful ejaculation (24%), hemospermia (24%) and infertility (12%). After marsupialization of the cyst, symptoms resolved completely in 14 patients (78%), improved in 17 (94%) and did not improve in only 1 (6%). No complications of this procedure were noted. The 16 patients who did not undergo surgery still complain of prostatitis-like symptoms without evidence of bacterial prostatitis.
We believe that a medial prostatic cyst can cause prostatitis-like symptoms and that marsupialization of the cyst can provide symptom relief in the majority of patients.
评估经尿道袋形缝合术治疗前列腺内侧囊肿的效果。
在1992年6月至1994年8月期间，我们对704例有膀胱出口梗阻症状或下尿路症状的患者进行了经直肠超声检查，发现其中34例（5%）患有前列腺囊肿。18例患者在经直肠超声引导下经尿道切开前列腺底部对囊肿进行袋形缝合术。随访时间为12至25个月（平均18个月）。
前列腺内侧囊肿患者主诉有前列腺炎样症状（77%）、阴囊疼痛（62%）、排尿障碍（32%）、射精量少（35%）、射精疼痛（24%）、血精（24%）及不育（12%）。囊肿袋形缝合术后，14例患者（78%）症状完全缓解，17例（94%）症状改善，仅1例（6%）无改善。该手术未出现并发症。16例未接受手术的患者仍主诉有前列腺炎样症状，但无细菌性前列腺炎的证据。
我们认为前列腺内侧囊肿可导致前列腺炎样症状，且囊肿袋形缝合术可使大多数患者症状缓解。
