男子尿管異所開口2例

概要

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Two cases of ectopic ureteral opening into the seminal vesicle were reported. Case 1 (20 years old) complained of abnormality in external genitalia. IVP revealed left non-visualizing kidney and right normal pyelogram. Seminal vesiculogram showed left ureteral opening into the seminal vesicle. On cystoscopy, left ureteral orifice was absent. Finally, a diagnosis was made as left ureteral ectopic opening into the seminal vesicle with renal aplasia and hypogonadotropic eunuchoidism. Left nephroureteroecLolny with partial Seminal vesiculectomy will be scheduled in near future. Case 2 (50 years old) complained of hematospermia and proteinuria. Previously he had right nephroureterectomy because of suspicion of right renal tuberculosis in another hospital, when the kidney was said to be hypoplastic. IVP revealed left renal mass (lower pole). On arteriography, left renal mass showed avascular solitary cyst. Seminal vesiculogram showed previous nephrourerectomized right ureteral stump. On cystoscopy, right ureteral orifice was absent. A diagnosis was made as right ureteral ectopic opening into the seminal vesicle and left solitary renal cyst. Total of 29 cases of male ectopic ureteral opening in Japanese literatures which appeared 1941 through 1976 were reviewed.
泌尿器科紀要刊行会の論文