前立腺部尿管異所開口を有する前立腺癌に対し前立腺全摘除術を施行した1例  [in Japanese] RADICAL PROSTATECTOMY FOR PROSTATE CARCINOMA WITH ECTOPIC URETER ; A CASE REPORT  [in Japanese]

症例は71歳男性,頻尿を主訴に当科受診した. PSA 8.0ng/mlにて前立腺針生検を施行,中分化腺癌と診断された.画像診断にて前立腺部尿道に異所開口する右側完全重複尿管と診断された.前立腺全摘術時に尿管尿管吻合を施行した.術後11ヵ月現在,水腎症および腫瘍の再発を認めていない.尿管異所開口を有する前立腺癌に対する前立腺全摘除術に関する報告は稀であり,若干の文献的考察を加えて報告する.

A 71-year old male visited our hospital with a chief complaint of pollakisuria. The needle biopsies of the prostate were performed with PSA 8.0 ng/ml, and he was diagnosed as moderately differentiated adenocarcinoma. Imaging techniques revealed a right complete duplicated upper urinary system with an ectopic ureter draining to the prostatic urethra. He received radical prostatectomy with concomitant anastomosis of ureter to ureter. There is no evidence of hydronephrosis or tumor recurrence 11 months after operation. This is, to our knowledge, the second case report describing the association of radical prostatectomy and ectopic ureter.