后尿道狭窄导致的逆行射精:罕见病例报告

IF 2.1 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Lei Zheng, Lihong Wang, Hui Jiang, Tao Jiang
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引用次数: 0

摘要

骨盆骨折是一种严重损伤,由于同时存在神经和尿道损伤,对性功能影响深远。在本病例报告中,我们描述了一名 29 岁的单身男性,他因骨盆骨折导致后尿道狭窄而出现逆行射精。患者在骨盆骨折后经历了 8 年的尿道狭窄和 3 年的逆行射精,他希望改善自己的射精能力。我们使用逆行尿道造影精确定位并测量了患者的尿道狭窄,并使用经直肠彩色多普勒超声实时跟踪患者的射精过程。接下来,我们使用尿道球囊扩张术解除了尿道狭窄。尿路梗阻症状完全消失,患者能够顺利排尿。同时,实时经直肠彩色多普勒超声检查结果显示,部分精液可能会通过最初的狭窄部位向外射精,而部分精液则继续逆行流入膀胱。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Retrograde Ejaculation Due to Posterior Urethral Stricture: A Rare Case Report
Pelvic fracture is a serious injury, which has a profound impact on sexual function due to concurrent nervous and urethral injuries. In this case report, we describe a 29-year-old single man who had retrograde ejaculation as a result of a pelvic fracture-related posterior urethral stricture. The patient wanted to improve his ejaculatory ability after experiencing urethral stricture for 8 years and retrograde ejaculation for 3 years following the pelvic fracture. We precisely located and measured the patient’s urethral stricture using a retrograde urethrogram, and we used transrectal color Doppler ultrasound to track the patient’s ejaculation process in real time. Next, we used urethral balloon dilatation to relieve the urethral stricture. Urinary obstruction symptoms have completely resolved, and the patient was able to urinate without any obstructions. Meanwhile, the real-time transrectal color Doppler ultrasound result showed that some semen might ejaculate externally by passing through the initial stricture area, while some semen continued to flow retrogradely into the bladder.
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来源期刊
American Journal of Men's Health
American Journal of Men's Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
3.70
自引率
4.30%
发文量
107
审稿时长
15 weeks
期刊介绍: American Journal of Men"s Health will be a core resource for cutting-edge information regarding men"s health and illness. The Journal will publish papers from all health, behavioral and social disciplines, including but not limited to medicine, nursing, allied health, public health, health psychology/behavioral medicine, and medical sociology and anthropology.
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