Seminal Vesicle Cyst and Ipsilateral Renal Agenesis: Laparoscopic Approach

Abstract

Seminal vesicle cysts with ipsilateral renal agenesis is rare. When the patient is symptomatic, surgical treatment may be necessary. However, the seminal vesicle is difficult to access surgically, and current transurethral or open surgical approaches have inherent shortcomings. The laparoscopic techniques developed in the last decade may overcome the difficulties in the surgical treatment of seminal vesicle pathology. In this study we report a patient diagnosed with left seminal vesicle cyst and ipsilateral renal agenesis who was managed successfully through the laparoscopic approach. The patient was a 41-year-old who suffered from perineal pain and intermittent hemospermia for 20 years. Ultrasonography and computerized tomography, CT, indicated a cyst of the left seminal vesicle and an absent left kidney. The total laparoscopic operation time was 90 minutes and the estimated blood loss was 80 ml. With a follow-up of 13 months, the patient had total relief of his preoperative symptoms without complication.

Zinner’s syndrome: an up-to-date review of the literature based on a clinical case

“…It offers excellent intra-operative access (usually transperitoneal), minimal blood loss and minimal postoperative morbidity (Cherullo et al, 2002;Hariganji et al, 2004;Liatsikos et al, 2004;van Meegen et al, 2006;Moudouni et al, 2006). The risk of complicated injuries to nearby organs such as the bladder, ureter and rectum is greatly decreased by keeping the dissection tightly adherent to the seminal pathway (Han et al, 2007). Patients may be discharged earlier (Han et al, 2007).…”

“…The risk of complicated injuries to nearby organs such as the bladder, ureter and rectum is greatly decreased by keeping the dissection tightly adherent to the seminal pathway (Han et al, 2007). Patients may be discharged earlier (Han et al, 2007). Approximately 15 cases of laparoscopic excision of seminal vesicle cysts have been reported until 2007 (Han et al, 2007).…”

“…Patients may be discharged earlier (Han et al, 2007). Approximately 15 cases of laparoscopic excision of seminal vesicle cysts have been reported until 2007 (Han et al, 2007).…”

Cystic lymphatic malformation of the pelvis mimicking seminal vesicle cysts

“…However, with the recent advances in minimally invasive surgical techniques, laparoscopic excision might have been considered as an option for surgical treatment, especially if the preoperative diagnosis supports seminal vesicle cyst [7,8]. Theoretically, the prognosis of cystic malformation is good because of the benign nature of the lymphatic anomaly.…”

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

“…In another three articles the drained fluid was analyzed – in one case spermatozoa and in two cases normal sperm cells were found [7, 8, 9]. Other authors reported patients having children in three cases [4, 6, 10]. Only two patients had one child before the operation.…”