尿管の精嚢腺異所開口の1例

Abstract

The patient was a 29-year-old man who visited our clinic with the complaints of sense of incomplete urination, pain on urination and sterility. A KUB showed fifteen calcified shadows in the bladder area suggesting the bladder or seminal vesicle stones (Fig. 1). The IVP, PRP and abdominal aortography did not demonstrate the right kidney (Fig. 2. 3. 4). The transvasal seminal vesiculography appeared normal on the right side. On the left side, however, dilated seminal vesicle and reflux up the left dilated ureter were demonstrated. These suggested crossed ectopia of the left ureter and its ectopic opening into the left seminal vesicle. The renal pelvis was not visualized at the time of reflux (Fig. 5). On cystoscopy both ureteral orifices and trigone were normal except for cystic elevation of the right side of trigone. The operative findings led us to make the precise diagnosis of the right ureteral agenesis, complete duplication of the left renal pelvis and ureter in which one drained from the crossed ectopic hypoplastic kidney and terminated in the left seminal vesicle with stones (Fig. 6). For treatment the crossed ectopic kidney, belonging ureter and left seminal vesicle were removed.