Diagnosis and treatment of seminal vesicle cysts

作者：He, Qun; Yang, Yong^*; Xia, Ming

来源：Surgical Practice, 2012, 16(2): 58-61.

DOI：10.1111/j.1744-1633.2012.00589.x

• cyst
• diagnosis
• laparoscopic seminal vesiculectomy
• seminal vesicle
• therapy

Aim: To deepen the understanding of patients with seminal vesicle cysts for correct diagnosis and treatment. Patients and Methods: Five patients with seminal vesicle cysts were treated over the period January 1996May 2010. Their symptoms, diagnostic results, treatment and outcomes were analysed retrospectively. The mean age of these patients at diagnosis was 35 years (range: 2045). Symptoms included haematospermia in three patients, urinary frequency in three patients, perineal malaise in four patients, infertility in three patients, pain after ejaculation in three patients, scrotal pain in three patients and dysuria in one patient. Cysts were palpable in four patients on digital rectal examination. All patients underwent intravenous urography and cystoscopy. Some patients received ultrasonography, computed tomography (CT) scanning, magnetic resonance imaging (MRI) or vasovesiculography. The size of the masses ranged from 3.8 cm X 3 cm X 2.6 cmto approximately 9.6 cm X 5.2 cm X 5 cm. Final open surgery consisted of vesiculectomy in two patients and laparoscopic excision of a partial seminal vesical cyst in three patients. Results: The postoperative course was uneventful, except for one patient who complained of ureter pain. All patients were free of symptoms after open surgery. Conclusions: Seminal vesicle cysts are rare, but should be considered in men with haematospermia and otherwise inexplicable bladder irritation symptoms, perineal discomfort or other genitourinary complaints of unknown aetiology. Diagnosis consists of digital rectal examination, transrectal and abdominal ultrasonography, CT scanning and MRI. Laparoscopic excision of seminal vesical cysts produced excellent results.

• 出版日期2012-5
• 单位首都医科大学