Seminal Vesicle Cyst Research Articles

Transurethral unroofing in seminal vesicle cyst

To investigate the effects of transurethral unroofing in treatment of seminal vesicle cyst. Seven patients seminal vesicle cyst 2.1 cm x 3.0 cm x 3.3 cm - 5.5 cm x 6.3 cm x 10.2 cm in size, aged 36 (21 - 65), with the symptoms of hematospermia (4 cases), hematuria (3 cases), epididymitis (2 cases), dysuria (1 case), bladder irritation symptoms (1 case), bloody mucus of urethral orifice after miction (1 case), perineal discomfort (2 case), and infertility (3 cases), underwent transurethral unroofing of seminal vesicle cyst. Operation was performed successful on all 7 patients. The mean operative time was 20 min, the mean estimated operative blood loss was 5 ml, and the mean hospital stay was 3 d. Follow-up was conduced for 28.3 months (8 months-10 years). All patients were free of symptoms after surgery, without recurrence and complications that needed further therapy. Two of the 3 patients with infertility succeeded in fertilization 1 year after surgery, and 1 patient with retrograde ejaculation underwent intracytoplasmic sperm injection and succeeded in fertilization 6 months after operation. Transurethral unroofing provides an effective approach to the seminal vesicle cyst with minimal invasion, short hospitalization, and rapid recovery.

Dysplastic kidney and not renal agenesis is the commonly associated anomaly in infants with seminal vesicle cyst

To determine whether the association of seminal vesicle cyst (SVC) and renal anomaly in young children correlates with previously reported cases of SVCs in adolescent and adult patients, as congenital SVCs, although rare, are frequently described in association with ipsilateral renal agenesis, mainly in adolescent and adult patients, whereas reports on SVCs in younger children are sparse. We report on nine infants (median age 4 months) with congenital SVCs, all of them associated with ipsilateral dysplastic kidneys. All patients had ultrasonography of the renal system and voiding cysto-urethrography. Magnetic resonance imaging was used in two patients. The SVCs were found incidentally during ultrasonography for the renal anomaly. Three patients had dysplastic and six had multicystic dysplastic kidneys. In previous reported adult cases of SVCs the most common associated renal anomaly was agenesis of the ipsilateral kidney (25 of 44 cases), whereas only one case of dysplastic kidney was reported. As the appearance of renal agenesis might result from a former congenital dysplastic kidney, our findings indicate that cases of ipsilateral renal agenesis in adult patients with congenital SVCs might represent former dysplastic or multicystic dysplastic kidney.

Congenital Seminal Vesicle Cyst Associated with Ipsilateral Renal Agenesis

PurposeA seminal vesicle cyst in combination with ipsilateral renal agenesis is rarely encountered. We present cases of this disease entity with symptoms, which were treated with a laparoscopic approach as a minimally invasive surgical treatment.Materials and MethodsWe experienced 4 patients with seminal vesicle cysts and ipsilateral renal agenesis. The mean age was 45.8 years. Chief complaints were perineal pain and hematospermia. Seminal vesicle cysts and remnant ureters were excised by laparoscopic surgery with transperitoneal approaches.ResultsThe mean operative time was 133.8 minutes. The mean hospital stay was 6.8 days. There were no operative complications or transfusions.ConclusionIn our report, patients of congenital seminal vesicle cyst associated with renal agenesis are presented. Laparoscopy is considered a minimal invasive management of these combined anomalies, providing a good image and an easy approach.

腹腔鏡下に切除した精嚢嚢胞の１例

A 58-year-old man was referred to our hospital for investigation and treatment of a retrovesical cystic tumor that was detected during his annual health check-up. Computed tomography and magnetic resonance imaging (MRI) showed a 5 cm cystic mass including a 1.5 cm solid mass between the bladder and rectum. Transrectal biopsy was performed successfully, and did not show any evidence of malignancy. Six months later, the cystic mass enlarged, and video-assisted laparoscopic excision of the cystic mass was performed. The mass was pathologically diagnosed as a seminal vesicle cyst. Because of the rarity of this lesion, only 11 cases of laparoscopic excision have been reported and, to our knowledge, this is the first case in the Japanese literature. Under the laparoscopic prostatectomy approach, we could safely resect the lesion.

A Case of Seminal Vesicle Cyst Accompanied with Ipsilateral Renal Agenesis in an Infant

A Case of Seminal Vesicle Cyst Accompanied with Ipsilateral Renal Agenesis in an Infant

Lethal infected seminal vesicle cyst

Lethal infected seminal vesicle cyst

Seminal vesicle abscesses associated with ipsilateral multicystic dysplastic kidney in an infant

Seminal vesicle cysts are rare lesions and usually asymptomatic. However, when symptoms occur it is typically during the early sexually active period. Furthermore, seminal vesicle abscesses (SVAs) are extremely rare and often difficult to diagnose due to the absence of any typical clinical signs. We herein describe a 2-month-old boy with a left SVA and ipsilateral multicystic dysplastic kidney (MCDK) who presented with a recurrent urinary tract infection (UTI). Magnetic resonance imaging proved to be a valuable diagnostic tool in our patient. Percutaneous transrectal puncture and aspiration were performed, because of recurrent UTI when intravenous antibiotic therapy had been stopped. Three weeks after the procedure, however, the SVA recurred, and, therefore, a transperitoneal laparoscopic excision of the left SVA, ureteral remnant and dysplastic renal tissue was performed. To the best of our knowledge, this is the first case of infantile SVA associated with ipsilateral MCDK. Pediatric clinicians should consider this urological anomaly in boys presenting with intractable UTI, although it is extremely rare.

COMBINED BUCCAL MUCOSA GRAFT AND PENILE FLAP FOR URETHRAL RECONSTRUCTION IN FAILED HYPOSPADIAS REPAIR

inserted into the seminal vesicle and remnant ureter endoscopically. Seminal vesicle cysts were excised by laparoscopic surgery with transperitoneal approach. One patient also had a laparoscopic ureterectomy for remnant ureter. RESULTS: The mean operative time was 128.3 minutes. The mean hospital stay was 6.3 days. There was no operative complication and transfusion. CONCLUSIONS: Seminal vesicles cysts may be found in patients with renal agenesis. Laparoscopy is considered a minimal invasive management of this combined anomalies, providing a good image and an easy approach.

A unique radiological pentad of mesonephric duct abnormalities in a young man presenting with testicular swelling

Cystic dysplasia of the rete testis with associated ipsilateral renal agenesis is a very rare congenital abnormality, mainly described in the paediatric literature. In addition, the presence of a seminal vesicle cyst with ipsilateral renal agenesis is a rare but well-described entity. We present an adult who was found to have a unique pentad of mesonephric duct abnormalities on radiological imaging, including cystic dysplasia of the rete testis, seminal vesicle cyst, ipsilateral renal agenesis, partial hemitrigonal development and epididymal dilatation. We review and discuss the relevant literature of this case and discuss in detail the embryological basis for this unusual combination of findings.

Robot-Assisted Removal of a Large Seminal Vesicle Cyst with Ipsilateral Renal Agenesis Associated with an Ectopic Ureter and a Müllerian Cyst of the Vas Deferens

We present the first report of robot-assisted removal of a large seminal vesicle cyst with ipsilateral renal agenesis, associated with ectopic ureter and a Müllerian cyst of the vas deferens in a 39-year-old man. With the use of the same transperitoneal approach as robot-assisted laparoscopic radical prostatectomy and 5 ports, it was possible to remove this rare and complex malformation of the mesonephric duct that was causing pelvic pain and urogenital infection. The advantages over conventional laparoscopy consist of easier instrument manipulation, greater movement precision resulting in calibrated use of thermal energy, ease of suturing, and better visualization because of higher magnification and 3-dimensional imaging.

Samenblasenzysten als seltene Differenzialdiagnose bei intrapelvinen Raumforderungen

Acquired or congenital seminal vesicle cysts are rare and probably not diagnosed in the majority of asymptomatic cases. When they do appear to be symptomatic, surgery should be considered. We report the case of a 65-year-old individual presenting with urinary retention secondary to a sizeable seminal vesicle cyst. The therapeutic options are discussed. Open surgery as well as the laparoscopic approach can be recommended as the treatment of choice for the uncommon condition of symptomatic seminal vesicle cysts.

Ganglioneuroblastoma in a Patient with Crossed Testicular Ectopia

Seung Hwa Choi, Dong Youp Han, Hee Jong Jeong Form the Department of Urology, Wonkwang University School of Medicine, Iksan, Korea Crossed testicular ectopia is a rare anomaly, in which both testes migrate toward the same hemiscrotum. Fewer than 100 cases of this condition have been reported in the literature worldwide. Occasionally, conditions initially suspected to be crossed testicular ectopia have proven to be other anomalies, including hypospadias, renal agenesis, and seminal vesicle cysts. In this case, we diagnosed ganglioneuroblastoma in a patient with testicular ectopia. (Korean J Urol 2008;49:756-758) 󰠏󰠏󰠏󰠏󰠏󰠏󰠏󰠏󰠏󰠏󰠏󰠏󰠏󰠏󰠏󰠏󰠏󰠏󰠏󰠏

A Case of a Large Seminal Vesicle Cyst Associated with Ipsilateral Renal Agenesis

The diagnosis of seminal vesicle cysts is often delayed or missed as a result of both their rarity and wide spectrum of potentially confusing clinical and imaging findings they can produce. Although rare, they should be considered in men, especially with a history of renal agenesis, who exhibit o inexplicable irritable voiding symptoms, perineal discomfort or other genitourinary complaint of unclear etiology. We introduce such a case, and discuss its symptoms, radiological findings and its therapeutic approach.

A Case of Seminal Vesicle Cyst Associated with Ipsilateral Renal Agenesis Diagnosed during an Investigation of Perineal Pain

A 38-year-old man was referred to our hospital with perineal and micturition pain. Transrectal ultrasound (TRUS) revealed a cystic mass in the outer prostate. Pelvic cyst and left renal agenesis were confirmed by magnetic resonance imaging (MRI) and computerized tomography (CT), and we diagnosed seminal vesicle cyst. The symptoms have since subsided, the possibility of sterility has been ruled out, and the patient is showing good improvement.

Chronic Infection of a Seminal Vesicle Cyst as Depicted on MR Imaging

Chronic infection of a seminal vesicle cyst is an extremely rare disorder worldwide. To date, only two cases, which were diagnosed initially by the use of contrast-enhanced CT or non-enhanced MR imaging, have been reported in the literature. We report here a case of a 78-year-old man with chronic infection of a seminal vesicle cyst to illustrate the usefulness of the pelvic contrast-enhanced MRI in making a definitive diagnosis of the rare disorder. In addition, a brief review of the relevant literature is presented.

Laparoscopic treatment of a calcium fluorophosphate stone within a seminal vesicle cyst

Stones in the seminal vesicles are extremely rare. We present a 62-year-old patient with a stone within a seminal vesicle cyst, who was cured by laparoscopic treatment. The operative time was 80 min, and the estimated blood loss was 90 mL. Scanning electron microscope examination of the stone showed a compact crystal image externally and sparse spherical crystal structure in kernel. Composition of the stone was calcium fluorophosphate on X-ray diffractometer. The follow-up time was 15 months with no recurrence of cyst or stone. To our knowledge, this case is the first to describe laparoscopic removal of a stone within a seminal vesicle cyst, and the first to describe calcium fluorophosphate as the composition of seminal vesicle stones.

Quiste de vesícula seminal con agenesia renal asociado a malformaciones vasculares: Presentación de un caso

We report a case of seminal vesicle cyst with ipsilateral renal agenesis associated wit abnormalities of the abdominal great vessels, not described previously in the bibliography.33 year-old-male with history of abdominal pain and fever. This case was evaluated by ultrasound, IV urography, CT scan and MRI. RESULTS/CONCLUSIONS. Congenital cystic disease of the seminal vesicle is an uncommon disorder. It is associated with genitourinary anomalies, often renal agenesis, and even anomalies of the lower spine. However, anomalies of the abdominal great vessels have not been described previously. CT scan provided excellent demonstration of associated anomalies.

Ejaculatory duct obstruction caused by a right giant seminal vesicle with an ipsilateral upper urinary tract agenesia: an embryologic malformation

To report our experience with TURED in infertile men with EDO associated with abnormal development of the mesonephric or Wolffian duct, causing a contemporary malformation of the ipsilateral upper urinary tract. Retrospective clinical study. Infertile men in an hospital environment. Seven patients affected by Zinner syndrome, from March to September 2005, were selected. Underwent TURED. Semen analysis, endocrine profile, transrectal ultrasonography and seminal vesicles aspiration, excretory urography, computerized tomography (CT), or magnetic resonance imaging (MRI). Before surgery, the patients experienced a decreased intensity and force of ejaculation and a low motile sperm count. The detection of the ipsilateral upper urinary tract malformation by the patients was incidental. After surgery, all patients reported having a projectile ejaculation, an increase in the average postoperative volume, and of the total motile sperm count. A seminal vesicle cyst combined with ipsilateral renal agenesis, described as Zinner syndrome, is a rare urological anomaly. It is frequently asymptomatic or else characterized by infertility, symptoms of bladder irritation, or pain in the scrotum and perineum. In selected patients, TURED can improve semen quality with subsequent ability to impregnate. The upper urinary tract malformation should be treated in symptomatic cases only.

Robot-Assisted Excision of Seminal Vesicle Cyst Associated with Ipsilateral Renal Agenesis

Seminal vesicle cysts associated with other genitourologic abnormalities are rare. We describe the first known robot-assisted excision of a cystic seminal vesicle associated with ipsilateral renal agenesis in a symptomatic pediatric patient. The patient was discharged home on postoperative day 1 and remains symptom free after 9 months' follow-up. Operative time, blood loss, and hospital stay were comparable to those of published series of conventional laparoscopy.

CT and MRI of Congenital Anomalies of the Seminal Vesicles

The purpose of this article is to provide a current review of the spectrum of CT and MRI findings seen in common congenital anomalies of the seminal vesicles. CT and MRI can both accurately show renal and seminal vesicle anomalies. Seminal vesicle anomalies often occur concurrently with renal and vasal defects. MRI is a better tool for accurately defining anatomic relationships when one is planning to excise a seminal vesicle cyst or if one is considering a difficult differential diagnosis.