LAPAROSCOPY Fertility preservation in cases of laparoscopic treatment of seminal vesicle cysts

Benyó, Mátyás; Berczi, Csaba; Józsa, Tamás; Csanádi, Gyula; Varga, Attila; Flaskó, Tibor

doi:10.5173/ceju.2012.03.art9

Cited by 9 publications

(8 citation statements)

References 10 publications

(13 reference statements)

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“…Nowadays, laparoscopic and robotic techniques have replaced the open surgical approach 17 18. Removal of the seminal vesicle cysts can resolve symptoms while preserving fertility and erectile function 19. As the condition is benign, periodic clinical follow-up is sufficient and imaging is reserved for those patients who become symptomatic.…”

Section: Discussionmentioning

confidence: 99%

Zinner syndrome: an uncommon cause of painful ejaculation

Sundar

2015

BMJ Case Reports

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Zinner syndrome refers to the triad of ipsilateral renal agenesis, seminal vesicle cysts and ejaculatory duct obstruction. Ipsilateral renal agenesis may be associated with seminal vesicle cysts in 70% of cases, but a remnant ureteral bud has been shown to coexist in only 27% of these cases. While some patients may remain asymptomatic and are discovered incidentally, others present with symptoms related to seminal vesicle cysts or ejaculatory duct obstruction: voiding or ejaculatory difficulty or pain. The diagnosis is made with imaging findings, and differentiation from other pelvic cysts requires a multimodality approach. In this report, we present typical imaging findings of a patient who presented with painful ejaculation where there was a congenital seminal vesicle cyst with ipsilateral renal agenesis associated with a remnant ureteral bud draining into the seminal vesicle cyst and also associated with a cyst of the prostatic utricle. We discuss the relevant embryological basis for this unusual combination of findings.

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Section: Discussionmentioning

confidence: 99%

Zinner syndrome: an uncommon cause of painful ejaculation

Sundar

2015

BMJ Case Reports

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“…However, several previous researchers hold different opinions. Benyo et al , 17 after studying two relevant cases of their own and reviewing seven similar cases in the literature, claimed that TLU could also enhance total motile sperm count and preserve fertility of SVC patients. Valla et al 18 reported that TLU was able to preserve fertility of an infant who was confirmed with SVC.…”

Section: Discussionmentioning

confidence: 99%

Clinical outcomes of transperitoneal laparoscopic unroofing and fenestration under seminal vesiculoscopy for seminal vesicle cysts

2018

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Symptomatic seminal vesicle cysts (SVCs), especially those of a large size, can be removed by surgical treatments. Currently, open surgeries for SVC are rarely performed due to their extensive surgical trauma, and minimally invasive surgical therapies for treating seminal vesicle cysts are still in the early stages. In addition, relevant studies are mostly confined to case reports. In this study, we retrospectively reviewed 53 patients who had received transperitoneal laparoscopic unroofing or fenestration under seminal vesiculoscopy for SVC in our institution. Both surgeries decreased the cyst volume to a significant extent; however, according to the remnant lesion size after rechecking images, seminal vesiculoscopic fenestration tended to have a higher recurrence than laparoscopic unroofing. Regarding complications, two individuals in the laparoscopic unroofing group experienced ureteral injury and rectal injury, while patients in the fenestration group only had temporary hemospermia, which indicates that fenestration surgery tends to have less severe complications than laparoscopic unroofing. There was no solid evidence confirming semen improvement after these surgical therapies in our study. Future studies with a prospective design, larger sample size, and longer follow-up period are required to verify and further explore our findings.

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“…The issue of fertility in patients presenting with symptomatic seminal vesicle cyst has been mostly overlooked with only a few reports published. Benyó et al [19] reported on 2 patients treated with laparoscopic nephroureterectomy and seminal vesicle cyst excision who performed sperm analysis before and after surgery. In 1 patient, the sperm count showed asthenozoospermia, which was corrected in a second sperm analysis 18 months postoperatively.…”

Section: Discussionmentioning

confidence: 99%

“…It is considerable to perform sperm analysis in these patients while employing several intraoperative techniques such as limiting the use of bipolar coagulation, careful dissection, and the administration of intravesicle methylene blue for the preservation of the vas deferens during operation [19] . In this series of patients, we did not perform sperm analysis mainly because the patient was constrained by religious causes and refused to appear for examination; however, during the operations a meticulous dissection was performed with attention to the preservation of the vas.…”

Section: Discussionmentioning

confidence: 99%

Minimally Invasive Approach for Treatment of Seminal Vesicle Cyst Associated with Ipsilateral Renal Agenesis

et al. 2017

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Objectives: We reviewed the clinical presentation and approach for the treatment of symptomatic seminal vesicle cyst associated with ipsilateral renal agenesis while presenting our experience with a series of 5 patients treated with minimally invasive surgery for Zinner syndrome. Materials and Methods: Between the years 2008 and 2016, we operated on 5 patients who presented with symptomatic seminal vesicle cyst and ipsilateral renal agenesis. Patients' charts and medical records were reviewed and compared with past published minimally invasive series. Results: Four patients were treated in a laparoscopic approach and one was treated with robotic-assisted seminal vesicle cyst excision. In all cases, the cystic complex was drained and excised with marsupialization of the remaining cyst walls to prevent cystic recurrence. The mean operating time was 3:47 h and mean hospitalization time was 7 days (4-14). The mean follow-up period was 3.2 years (range 1.7-4.8 years). All patients reported a resolution of symptoms during postoperative follow-up. Conclusions: Seminal vesicle cyst with ipsilateral renal agenesis should be suspected in young male patients presenting with pelvic cystic masses. Treatment is reserved for symptomatic patients and the preferred approach is minimally invasive surgery. This approach is feasible and effective while providing advantages both for the patient and the surgeon.

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LAPAROSCOPY Fertility preservation in cases of laparoscopic treatment of seminal vesicle cysts

Cited by 9 publications

References 10 publications

Zinner syndrome: an uncommon cause of painful ejaculation

Zinner syndrome: an uncommon cause of painful ejaculation

Clinical outcomes of transperitoneal laparoscopic unroofing and fenestration under seminal vesiculoscopy for seminal vesicle cysts

Minimally Invasive Approach for Treatment of Seminal Vesicle Cyst Associated with Ipsilateral Renal Agenesis

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