精嚢腺疾患の診断と治療

Abstract

We have been studying pathology and physiology of the sem inal vesicle for several years. In this report diagnosis and treatment of diseases of the seminal vesicle were discussed, and basic experimental studies related to them were also reported. 1. In our clinic 84 cases of diseases of the sem i nal vesicle were experienced for past five years. These constituted 1.8% of all the urological patients. 2. For diagnostic aids of the condition of the semina l vesicle, digital examination and endoscopy are not so reliable as well as bacteriologic study of semen. The final diagnosis can be made on seminal vesiculograms by which not only morbid changes of the seminal vesicle and the adjacent organs but endocrinologic condition of the patient may be cleared. 3. As a function test of the seminal vesicle, absorption test with radioisotope is t h ought to be most rational and become available in future. With this method, sex hormone assay in the somiquantative fashion can be strongly suggested. 4. Transmission rate of antibiotics to t h e seminal vesicles is much lower than to the blood and other organs. This fact suggests that general measures for the seminal vesicle infection are quite limited. 5. In some of h e mospermia, anti-allergic medication was effective. Animal experiment also verified the presence of allergy as one of the etiologic factors of hemospermia. 6. Various general treatments for the seminal vesicle diseases were d i s cussed and evaluated. Local instillation and massage were also mentioned. As an operative treatment, subcapsular vesiculectomy removing only offending area and avoiding seminal tract damage was considered to be adequate because of such excell entresults as improved semen analysis and pregnancy after the operation.