后尿道血管瘤的临床特点及长期随访结果

Clinical Features of posterior Urethral Hemangioma and Its Long-term Follow-up Outcomes Postoperation

为了探索后尿道血管瘤的临床特点及其手术治疗后长期随访结果,收集8例后尿道血管瘤患者,记录患者的年龄、病程、症状、手术方式、病理结果和术后长期随访疗效及并发症。结果显示,8例患者平均年龄(39.5±10.2)岁,平均病程(43.6±37.2)个月。后尿道血管瘤的临床特征表现如下:反复的大量的血精,血液与精液无明显混合,射精后排尿或者第二天晨起会排出血凝块或者性兴奋后尿道口流血,抗感染治疗无效。尿道膀胱镜检查发现在精阜头远端和尿道外括约肌之间有一孤立性的血管瘤。所有患者均采用经尿道电切术+电凝术,术后平均随访(28.4±11.8)个月,临床症状消失,无复发,无尿失禁、尿道狭窄、尿道出血、射精疼痛等并发症。因此,后尿道血管瘤可导致反复顽固性的血精或者性兴奋后尿道出血,在长期随访过程中,经尿道电切及电凝术是安全有效的治疗手段。

To explore the clinical features of posterior urethral hemangioma and its long-term follow-up outcomes postoperation,8 patients who suffered from posterior urethral hemangioma and treated in our hospital were studied.The ages,disease duration,syndromes,operation methods,pathologic findings,and long-term postoperative outcomes and complications were recorded.The mean age of the 8 patients were(39.5±10.2)years,and the mean duration of the disease was(43.6±37.2)months.The clinical characteristic of the posterior urethral hemangioma was as follows:hematospermia repeatedly in great quantity,no obvious mixing with the seminal fluid,urine after ejaculation or second in the morning is accompanied by blood clots and urethrorrhagia after sexual excitation,and there was no obvious effect for anti-infection therapy.The solitary varicosities were found between the distal end of the verumontanum and the external urethral sphincter by cystourethroscopy.Eight patients had a transurethral resection and fulguration.All patients'clinical symptoms disappeared.No recurrence,no urinary incontinence,urethral stricture,urethral bleeding,ejaculatory pain and other complications were noted during the average of(28.4±11.8)months'follow-up.Therefore,posterior urethral hemangioma can result patients with repeated intractable hematospermia or urethrorrhagia after sexual excitation.The transurethral resection and fulguration are safe and effective treatments methods in long-term follow-up.