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.     

Giant cyst of the seminal vesicle associated with ipsilateral renal agenesis

Cyst of the seminal vesicles represent a rare but illustrative type of embryologic malformation whose etiology is associated with an abnormal development of the mesonephric or Wolffian duct. Frequently these malformations are associated with an abnormal development of the ipsilateral upper urinary tract. The initial evaluation of the majority of cases is performed with abdominal or transrectal ultrasound. Considering the possible need of other diagnostic procedures to confirm the diagnosis, ultrasonography is safe in the majority of cases. The treatment of these urologic malformations should be restricted to symptomatic cases and usually consists of vesiculectomy, with of without, removal of the displastic or histoplastic kidney. We present a case of a right mesonephric duct malformation with a giant seminal vesicle associated with ipsilateral kidney agenesis and severe oligozoospermia, that presented with sporadic episodes of hemospermia and urinary complaints.     

Ectopic ureter opening into seminal vesicle cyst associated with ipsilateral renal agenesis

An unusual case is presented of an ectopic ureter entering into a seminal vesicle cyst associated with ipsilateral renal agenesis. The embryologic explanation of this anomaly is reviewed, and the differential diagnosis and management highlighted.     

Laparoscopic excision of a congenital seminal vesicle cyst associated with ipsilateral renal agenesis

Seminal vesicle cyst (SVC) with ipsilateral renal agenesis is a rare congenital anomaly. Surgical treatment is indicated for symptomatic patients. The open surgical approach, traditionally considered the definitive form of treatment, has been associated with a high rate of morbidity. A laparoscopic approach for the management of SVCs has recently been described. We performed a laparoscopic excision of a SVC with special precaution taken to avoid injury to the neurovascular bundle in a symptomatic 27-year-old patient. The patient was discharged home on the second postoperative day and at the 1-year follow-up he had remained symptom-free with normal erectile and ejaculatory function.     

A large seminal vesicle cyst with contralateral renal agenesis

Seminal vesicle cysts (SVC) are rather rare disorders. Our case is the first in literature where contralateral renal agenesis was seen together with SVC and surgically managed. We believe that the occurrence of these two coinciding abnormalities is incidental.     

Seminal vesicle cyst associated with ipsilateral renal agenesis

Seminal vesicle cysts present at the age of high sexual activity. They manifest with symptoms of bladder irritation and pain on ejaculation. They arise because of congenital obstruction of ejaculatory duct. Diagnosis can be made by careful rectal examination supplemented by an intravenous urogram, cystogram, seminal vesiculogram, and cystoure throscopy. Surgical excision of the cyst is the definitive treatment. We present a case (fright seminal vesicle cyst associated with ipsilateral renal agenesis, with a review of the= pertinent literature.     

Seminal vesicle cyst associated with ipsilateral renal agenesis

A case of seminal vesicle cyst associated with ipsilateral renal agenesis was experienced recently in our clinic. A 23-year-old male presented with a complaint of right hemiscrotal pain. Right kidney was not visualized by excretory urography. Cystoscopic examination revealed the absence of the right half of trigone and the right posterolateral wall bulging into the bladder, suggestive of an extrinsic mass displacing the bladder wall. Ultrasonography and computerized tomographic scan showed a large cystic mass in the right side of the retrovesical region. Exploratory operation disclosed that the cystic mass was part of the dilated seminal vesicle. Seminal vesiculectomy was done. Many cases of seminal vesicle cyst are associated with a simple or complex malformation of ipsilateral upper urinary tract (renal agenesis, dysplasia, hypoplasia and ectopic ureter). We speculate that most of the benign seminal vesicle cysts are formed as a congenital anomaly due to defective mesonephric duct development which causes concomitant malformations in the upper urinary tract.     

Cyst of seminal vesicle associated with ipsilateral renal agenesis

A case of cyst of seminal vesicle associated with ipsilateral renal agenesis in a twenty-three-year-old man presenting primarily with rectal symptoms is reported. The usual symptoms had been urinary bladder irritation and pain on ejaculation. The embryologic development of this rare entity is discussed.     

Seminal vesicle cyst with ipsilateral renal agenesis: a case report

A 26-year-old man was referred to our hospital for further evaluation of a cystic lesion in the pelvis. He was completely asymptomatic, although he experienced gross hematuria 10 months before his visit. Drip infusion pyelography (DIP) and abdominal computerized tomography (CT) showed a cystic structure behind the bladder and absence of the left kidney. Transrectal ultrasonography (TRUS) suggested left ejaculatory duct obstruction and seminal vesicle deformity. On cystoscopy a large bulging mass under the left side of the bladder was seen. The left half of the trigone and left ureteral orifice were absent. Vasovesiculography demonstrated dilated and tortuous left seminal vesicle. Three days after this procedure, the patient suffered left epididymitis. It did not respond rapidly to antibiotic therapy, so percutaneous drainage of the cyst was performed. He has been completely free of symptoms and no seminal vesicle cysts have been detected on TRUS at five months follow-up.     

Seminal vesicle cyst and ipsilateral renal agenesis

A case of seminal vesicle cyst with ipsilateral agenesis is presented. The embryologic events, clinical symptoms, and diagnosis are discussed, emphasizing the value of sonography and computer tomography in identifying the cyst. Surgical resection is the treatment of choice.     

Seminal vesicle cyst and ipsilateral renal agenesis

A case of seminal vesicle cyst and ipsilateral renal agenesis is presented, the literature summarized, the embryology reviewed, and the differential diagnosis discussed. Our reasons for surgical therapy are stated.     

Papillary adenocarcinoma in a seminal vesicle cyst associated with ipsilateral renal agenesis: a case report.

Cysts and tumors of the seminal vesicle are uncommon, and their coexistence is extremely rare. We report a case of multiple papillary tumors inside a seminal vesicle cyst associated with ipsilateral renal agenesis in a 17-year-old man. Surgical excision of the cyst and tumors was performed without any morbidity and histology revealed well differentiated papillary adenocarcinoma.     

Ultrasonic recognition of a cystic seminal vesicle with ipsilateral renal agenesis

We report a case of a cystic seminal vesicle detected sonographically during investigation for infertility. The importance of this lesion in cases of ipsilateral renal agenesis and the value of transrectal sonography in its detection are discussed.     

Laparoscopic management of congenital seminal vesicle cysts associated with ipsilateral renal agenesis

PURPOSE: Congenital cysts of the seminal vesicles associated with ipsilateral renal abnormalities are rare. When they are symptomatic, open surgical excision has been the treatment of choice. We present our experience with laparoscopic management and provide a detailed literature review of this entity. MATERIALS AND METHODS: Since 1985, 3 patients with symptomatic seminal vesicle cysts and ipsilateral renal agenesis have been treated at our center. Open surgical excision was performed in 1 patient and laparoscopic management was performed in the other 2. RESULTS: Mean patient age was 35.7 years (range 30 to 42). Presenting symptoms were perineal pain in all 3 cases, dysuria in 2, irritable voiding in 2 and testicular pain in 1. Mean laparoscopic operative time was 195 minutes and mean estimated blood loss was 325 cc. Transabdominal or transrectal ultrasound was performed in 2 cases and computerized tomography was performed in all 3. CONCLUSIONS: Seminal vesicle cysts associated with ipsilateral renal agenesis are rare but they should be considered in men with otherwise inexplicable irritable voiding symptoms, perineal discomfort or other genitourinary complaint of unclear etiology. Evaluation should include digital rectal examination, transrectal and transabdominal ultrasound, computerized tomography and cystoscopy. Laparoscopy provides excellent intraoperative access and visualization with minimal postoperative morbidity. It is likely to become the treatment of choice for this rare developmental anomaly.     

Partial vesiculectomy in an infertile man with seminal vesicle cyst, ipsilateral renal agenesis, and cryptorchidism

Congenital seminal vesicle cysts associated with renal agenesis are uncommon, but are currently detected more frequently with the use of sectional imaging procedures. Approximately 200 cases have been reported. The unique feature of our case is the combination of this disorder with an ipsilateral undescended testis. Our patient underwent partial vesiculectomy, in which the cyst was removed and the seminal vesicle remnant with its vas deferens was preserved. A review of the infertile cases and the impact of surgical treatment on fertility are discussed. Features that render partial vesiculectomy applicable and the potential effect of this procedure on fertility are highlighted.     

Seminal vesicle cyst and ipsilateral renal agenesis: laparoscopic approach

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.     

Seminal vesicle cyst associated with renal agenesis and ipsilateral ectopic ureter. Report of a case

The authors report one case of a seminal vesicle cyst. They discuss this pathology and its relation to ureteral ectopy, as well as the therapeutic options for these entities. They present their experience in the resolution of this case.