성교 후 혈뇨에 관한 임상적 연구
Clinical Studies on Postcoital Hematuria
이수형, 김선일, 안현수, 김영수, 김세중,
소속 상세정보
이수형 ( Lee Soo-Hyung )
아주대학교 의과대학 비뇨기과학교실
김선일 ( Kim Sun-Il )
아주대학교 의과대학 비뇨기과학교실
안현수 ( Ahn Hyun-Soo )
아주대학교 의과대학 비뇨기과학교실
김영수 ( Kim Young-Soo )
아주대학교 의과대학 비뇨기과학교실
김세중 ( Kim Se-Joong )
아주대학교 의과대학 비뇨기과학교실
KMID : 0358320080490030262
Abstract
Purpose: A study was conducted to evaluate the clinical characteristics of patients with postcoital hematuria without bloody ejaculate.
Materials and Methods: The records of 21 men(mean age 48.6 years, range 27-64 years) with isolated postcoital hematuria without bloody ejaculate were retrospectively reviewed. Patients underwent routine laboratory testing including coagulation studies and urological evaluation which included urinalysis, urine cytology, abdominal and transrectal ultrasonography, and cystourethroscopy.
Results: Among total 21 patients, there were no detectable abnormalities in 11(52.4%) patients. Lesions were found in 10(47.6%) patients, which included 1 pathologically proven prostatic urethral hemangioma, 5 benign prostatic hyperplasia, 1 bladder neck obstruction, and 3 ultrasonographically identified seminal vesicle dilatation. In 19(90.5%) patients, symptom subsided after treatment or simple observation without recurrences. In the remaining two patients, postcoital hematuria has still persisted intermittently.
Conclusions: Thorough evaluations are necessary in the case of postcoital hematuria as treatable lesions could be identified. In cases without identifiable causes, the patients could be reassured that the condition is benign and self-limiting. (Korean J Urol 2008;49:264-267)
키워드
Hematuria;Coitus
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