Prostatic cyst: An unusual cause of hemospermia

A 31-year-old man was referred to our service because of recurrent hemospermia over the last 4 years, there were no other symptoms like perineal pain, fever, dysuria, nocturia or urgency; this patient only presented hemospermia with clots. Genital examination was normal. Semen analysis showed no ch...

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Autores principales: Hernández Galván, Fernando, Jaime Dávila, Rodolfo, Gómez Guerra, Lauro Salvador, Gutiérrez González, Adrián, Lozano Salinas, Juan Fermín, Arrambide Gutiérrez, José Gustavo
Formato: Artículo
Lenguaje:inglés
Publicado: UANL. Facultad de Medicina 2015
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Acceso en línea:http://eprints.uanl.mx/11640/1/S1665579615000447_S300_en.pdf
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author Hernández Galván, Fernando
Jaime Dávila, Rodolfo
Gómez Guerra, Lauro Salvador
Gutiérrez González, Adrián
Lozano Salinas, Juan Fermín
Arrambide Gutiérrez, José Gustavo
author_facet Hernández Galván, Fernando
Jaime Dávila, Rodolfo
Gómez Guerra, Lauro Salvador
Gutiérrez González, Adrián
Lozano Salinas, Juan Fermín
Arrambide Gutiérrez, José Gustavo
author_sort Hernández Galván, Fernando
collection Repositorio Institucional
description A 31-year-old man was referred to our service because of recurrent hemospermia over the last 4 years, there were no other symptoms like perineal pain, fever, dysuria, nocturia or urgency; this patient only presented hemospermia with clots. Genital examination was normal. Semen analysis showed no change in volume and pH; however, hemospermia and asthenozoospermia were observed. The semen culture was normal. Ultrasonography only revealed the presence of a cystic lesion adjoining the prostate gland, next to the bladder neck. The retrograde urethrogram was normal. The CT scan revealed only a small calcification in the right seminal vesicle. Endoscopic cistourethroscopy demonstrated 2 cystic dilatations arising on both sides of the prostate gland adjacent to the bladder neck, behind the verumontanum with vessels running over the surface prostatic cyst dilatation. The diagnosis of prostatic gland cystic dilatation was reached and confirmed by pathology that reported fibroconnective tissue with fibrosis and hyalinization. Transurethral unroofing of the cyst was performed separately with a successful outcome.
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spelling eprints-116402016-11-08T21:34:50Z http://eprints.uanl.mx/11640/ Prostatic cyst: An unusual cause of hemospermia Hernández Galván, Fernando Jaime Dávila, Rodolfo Gómez Guerra, Lauro Salvador Gutiérrez González, Adrián Lozano Salinas, Juan Fermín Arrambide Gutiérrez, José Gustavo RC Medicina Interna, Psiquiatría, Neurología A 31-year-old man was referred to our service because of recurrent hemospermia over the last 4 years, there were no other symptoms like perineal pain, fever, dysuria, nocturia or urgency; this patient only presented hemospermia with clots. Genital examination was normal. Semen analysis showed no change in volume and pH; however, hemospermia and asthenozoospermia were observed. The semen culture was normal. Ultrasonography only revealed the presence of a cystic lesion adjoining the prostate gland, next to the bladder neck. The retrograde urethrogram was normal. The CT scan revealed only a small calcification in the right seminal vesicle. Endoscopic cistourethroscopy demonstrated 2 cystic dilatations arising on both sides of the prostate gland adjacent to the bladder neck, behind the verumontanum with vessels running over the surface prostatic cyst dilatation. The diagnosis of prostatic gland cystic dilatation was reached and confirmed by pathology that reported fibroconnective tissue with fibrosis and hyalinization. Transurethral unroofing of the cyst was performed separately with a successful outcome. UANL. Facultad de Medicina 2015 Article PeerReviewed text en cc_by_nc_nd http://eprints.uanl.mx/11640/1/S1665579615000447_S300_en.pdf http://eprints.uanl.mx/11640/1.haspreviewThumbnailVersion/S1665579615000447_S300_en.pdf Hernández Galván, Fernando y Jaime Dávila, Rodolfo y Gómez Guerra, Lauro Salvador y Gutiérrez González, Adrián y Lozano Salinas, Juan Fermín y Arrambide Gutiérrez, José Gustavo (2015) Prostatic cyst: An unusual cause of hemospermia. Medicina universitaria, 17 (68). pp. 162-164. ISSN 1665-5796 http://dx.doi.org/10.1016/j.rmu.2015.05.006 10.1016/j.rmu.2015.05.006
spellingShingle RC Medicina Interna, Psiquiatría, Neurología
Hernández Galván, Fernando
Jaime Dávila, Rodolfo
Gómez Guerra, Lauro Salvador
Gutiérrez González, Adrián
Lozano Salinas, Juan Fermín
Arrambide Gutiérrez, José Gustavo
Prostatic cyst: An unusual cause of hemospermia
thumbnail https://rediab.uanl.mx/themes/sandal5/images/online.png
title Prostatic cyst: An unusual cause of hemospermia
title_full Prostatic cyst: An unusual cause of hemospermia
title_fullStr Prostatic cyst: An unusual cause of hemospermia
title_full_unstemmed Prostatic cyst: An unusual cause of hemospermia
title_short Prostatic cyst: An unusual cause of hemospermia
title_sort prostatic cyst an unusual cause of hemospermia
topic RC Medicina Interna, Psiquiatría, Neurología
url http://eprints.uanl.mx/11640/1/S1665579615000447_S300_en.pdf
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