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临床资料患者男性,30岁,工人。阴茎肿块2月。无排尿困难,无发热、疼痛。性生活正常。无外伤史。体检:阴茎发育正常,勃起后无畸形,阴茎腹侧根部触及花生米大小肿块,质韧,表面光滑,无压痛,界限清。x线平片及尿道造影均无异常。入院后手术探查,见结节位于尿道海绵体内,2×1×0.5cm。不累及尿道,切面灰白色,有血液渗出,完整切除。术后恢复顺利。病理报告:尿道海绵体血管瘤(硬化性)。随访4个月,排尿、性生活均正常。讨论: 本病临床罕见,属先天性发育异常,此病易与佩罗氏病(Peyronie’s disease)、阴茎结核、阴茎骨
Clinical data Male patient, 30 years old, worker. Penis mass in February. No dysuria, no fever, pain. Sexual life is normal. No history of trauma. Physical examination: normal penile development, no deformity after erection, penile ventral root touched peanut mass, quality and tough, smooth surface, no tenderness, clear boundaries. X-ray and urethral imaging were normal. Surgical exploration after admission, see the nodules located in the urethral sponge, 2 × 1 × 0.5cm. Do not affect the urethra, cut white, blood exudation, complete removal. Postoperative recovery was successful. Pathology report: Urethral hemangioma (sclerosing). Follow-up 4 months, urination, sexual life are normal. Discussion: The disease is clinically rare, congenital dysplasia, and the disease is easily associated with Peyronie’s disease, penile tuberculosis,