Surgical Treatment of Bilateral Large Seminal Vesicle Cysts Associated with Unilateral Renoureteral Agenesis

Abstract

A 26-year-old man presented bilateral cysts of the vesicles, larger on the right side, associated with agenesis of right kidney and ureter. Surgical treatment consisted of removal of the right cyst and volume reduction of the left one. The embryological aspects are discussed, together with the clinical findings and the treatment options.

Seminal Vesicle Cyst: A Rarecase Report

“…1 Congenital cysts, associated with ipsilateral malformation of the upper urinary tract, were described by Zinner in 1914 [3,4]. Seminal vesicle cysts are characteristically unilateral with no side predilection and only two cases of bilateral seminal vesicle cysts have been reported in the literature [3]. They contain pale white fluid with spermatozoa and white blood cells, and are lined with cuboidal or flattened epithelium with a fibrous wall.…”

“…The majority of seminal vesicle cysts are small (< 5 cm) and present either asymptomatically or with infective or irritative urinary symptoms. Large cysts (> 8 -10 cm) may present with symptomaticobstruction of the bladder and/or bowel, and occur less frequently [3]. The diagnosis of these malformations is established mostly at the time of the greatest sexual activity when seminal fluidaccumulates in the seminal vesicle as a result of incomplete drainage.…”

Seminal vesicle cysts and associated anomalies

“…There have been several subsequent reports of seminal vesicle cysts, many with associated ipsilateral renal agenesis [10–23]. However, there have been few large series of patients; Table 1 summarizes the reported cases [5,8–11,13,17,24,25–39].…”

“…There have been several subsequent reports of seminal vesicle cysts, many with associated ipsilateral renal agenesis [10][11][12][13][14][15][16][17][18][19][20][21][22][23]. However, there have been few large series of patients; Table 1 summarizes the reported cases [5,[8][9][10][11]13,17,24,[25][26][27][28][29][30][31][32][33][34][35][36][37][38][39].…”

M�ndung eines Megaureters mit aplastischer Niere in eine Samenblasenzyste

“…Literaturübersicht der weltweiten Erfahrungen der laparoskopischen Entfernung einer Samenblasenzyste assoziiert mit Nierenagenesie/-aplasie (n.d. = nicht dokumentiert) Kriterien Cherullo et al [3] McDougall et al [ Allgemein akzeptiert ist die offene Vesikulektomie mittels abdominovesikalem oder retroperitonealem Zugang, hierbei kann der ektope Ureter und die aplastische Niere simultan entfernt werden [16]. Der Zugangsweg für die Präparation im kleinen Becken bei gleichzeitiger Exploration des ipsilateralen Nierenlagers ist relativ exzessiv, sodass hieraus eine nicht unerhebliche Frühmorbidität entsteht.…”