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Adenoma of the posterior urethra:131 case report

查看全文 作  者:Zhen-Guo MI;Xiao-Feng YANG;Xue-Zhi LIANG;Hong-Yao LIU;Shang-Yin LIU;Hong ZHANG;Dong-Wen WANG;Chum LIU Department of Urology,The First Affiliated Hospital, Shanxi Medical University, Taiyuan 030001, China 高影响力作者 出  处:《Asian Journal of Andrology》索引2001年第3卷第1期,共4页高影响力期刊 摘  要:A case-report on adenoma of the posterior urethra. Methods: In 131 cases of adenoma of the posterior urethra, aged 17- 79 (mean: 36.4) years, a detailed medical history was taken and urinalysis, urethroscopy, and prostatic specific antigen (PSA) immunohistochemical staining were performed. They were then treated with transurethral resection (TUR) or transurethral electric coagulation (TUEC). Results: Hemospermia occurred in 51% of the cases, hematuria in 38 %, bood overflow from the urethral orifice in 6 %, and dysuria in 5 %. The position of the tumor was at or around the verurumontanum. The appearance of the rumor was similar to those of a papilla, a villus, a dactyl or polyp, or simply an engorgement. The tumor contained glandular alveoli and adeno-epithelial cells. PSA immunohistochemistry was positive in the cytoplasm and nucleus of the adeno-epithelial cell. One hundred and tweenty-nine cases were cured after TUR or TUEC, while 2 patients recurred and were operated again. Conclusion: Adenoma of the posterior urethra is a common cause of hemospermia and hematuria in young men. Urethroscopic examination and biopsy are the principal diagnostic measures. TUR or TUEC are believed to be the treatment of choice with a short-term recurrence rate of around 1.5%. 关 键 词:男性 泌尿系统 晚期尿道腺瘤 尿分析 尿道镜检查 血性精液 血尿
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