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精道梗阻男性不育的外科治疗经验 (原创)

王增军
王增军主任医师 教授江苏省人民医院 泌尿外科

BMC Urol.  2015 Dec;15(1):15. doi: 10.1186/s12894-015-0015-8. Epub 2015 Mar 14.

A novel surgical management for male infertility secondary to midline prostatic cyst.

Cheng G1, Liu B, Song Z, Xu A, Song N, Wang Z. 江苏省人民医院泌尿外科王增军

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Abstract

BACKGROUND:

To summary the procedure and experience of a novel surgical management for male infertility secondary to midline prostatic cyst (MPC).

METHODS:

From February 2012 to February 2014, 12 patients were diagnosed with PMC by semen analysis, seminal plasma biochemical analysis, transrectal ultrasonography (TRUS), and pelvic magnetic resonance imaging (MRI). All patients underwent the transurethral unroofing of MPC using resectoscope, the dilation of ejaculatory duct, and the irrigation of seminal vesicle using seminal vesiculoscope. All patients were followed up at least 3 months after operation.

RESULTS:

Preoperative semen analyses of 12 patients showed oligoasthenozoospermia (5/12) or azoospermia (7/12), low semen volume (0-1.9 mL), and low pH level (5.5-7.0). Preoperative seminal plasma biochemical analyses showed reduced semen fructose. TURS and MRI revealed a cyst lesion located in the midline of prostatic. After 3 months follow up, the semen quality of 80% patients (4/5) with oligoasthenozoospermia improved obviously. The spermatozoa were present in the semen in 5 of 7 cases with azoospermia. In one patient, the spermatozoa occurred in the urine after ejaculation.

CONCLUSIONS:

Surgical management using transurethral resectoscopy and seminal vesiculoscopy is effective, minimally invasive, and safe for male infertility secondary to MPC.

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发布时间:2015-03-22 10:35

王增军主任医师 教授
江苏省人民医院 泌尿外科
擅长:肾癌前列腺癌膀胱癌的诊治,男性不育性功能障碍的诊治;机器人辅助腹腔镜下复杂性泌尿生殖系统肿瘤如肾癌根治及保留肾单位肾部分切除术,保留性神经膀胱癌根治性切除原位新膀胱术,保留性神经及尿控功能前列腺癌根治术,睾丸癌腹膜后淋巴结清扫等微创治疗,尿道断裂尿道修复重建手术,泌尿生殖系统先天性畸形如肾盂输尿管连接部狭窄和小儿尿道下裂修复重建等。前列腺增生症微创治疗,男性勃起功能障碍假体植入,血精的微创治疗,男性不育(少弱精及无精子症)的诊治等。 << 收起

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