经尿道切除不常见的布伦氏囊肿:缓解下尿路症状

Dongsu Kim , Yong Mee Cho , Sang Hoon Song
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引用次数: 0

摘要

患者和手术过程一名 44 岁的男性患者伴有尿频和尿急等 LUTS 症状,通过膀胱镜检查和超声波检查对其进行了评估,发现其膀胱颈部有囊性病变。我们使用自制的国际前列腺症状评分问卷和尿流测定法对患者的尿频、尿急症状进行了评估。我们采用膀胱镜方法成功切除了位于膀胱颈部的布鲁氏囊肿,使我们能够看到囊肿的内部结构。结果手术切除布鲁氏囊肿后,国际前列腺症状评分显著下降,从最初的11分降至随后的5分。采用苏木精/伊红染色和 GATA 结合蛋白 3 免疫染色,证实囊肿标本中存在尿路粘膜。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Transurethral resection of an uncommon Brunn's cyst: A resolution for lower urinary tract symptoms

Objective

To present the first surgical video of a patient with Brunn's cyst accompanied by lower urinary tract symptoms (LUTS) who underwent transurethral deroofing and resection.

Patients and Surgical procedure

A 44-year-old male patient with LUTS of frequency and urgency was evaluated with cystoscopy and ultrasonography, which revealed a cystic lesion located at the bladder neck. The LUTS were evaluated using the self-administered international prostate symptom score questionnaire and uroflowmetry. We successfully excised Bruun's cyst located in the bladder neck using a cystoscopic approach, allowing us to visualize the internal structure of the cyst.

Results

Following the surgical removal of the Bruun's cyst, there was a significant decrease in the International Prostate Symptom Score, dropping from an initial value of 11 to a subsequent score of 5. Hematoxylin/eosin staining and GATA-binding protein 3 immunostaining were employed, confirming the presence of urothelial mucosa within the cystic specimen.

Conclusion

Transurethral deroofing and cyst resection constitute an effective treatment approach for Brunn's cyst accompanied by LUTS.

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来源期刊
Urology video journal
Urology video journal Nephrology, Urology
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