Yonsei Med J.  2009 Aug;50(4):560-563. 10.3349/ymj.2009.50.4.560.

Congenital Seminal Vesicle Cyst Associated with Ipsilateral Renal Agenesis

• Seo IY
• Kim HS
• Rim JS

• KMID: 1758617
• DOI: http://doi.org/10.3349/ymj.2009.50.4.560

Abstract

PURPOSE
A seminal vesicle cyst in combination with ipsilateral renal agenesis is rarely encountered. We present cases of this disease entity with symptoms, which were treated with a laparoscopic approach as a minimally invasive surgical treatment. MATERIALS AND METHODS: We experienced 4 patients with seminal vesicle cysts and ipsilateral renal agenesis. The mean age was 45.8 years. Chief complaints were perineal pain and hematospermia. Seminal vesicle cysts and remnant ureters were excised by laparoscopic surgery with transperitoneal approaches. RESULTS: The mean operative time was 133.8 minutes. The mean hospital stay was 6.8 days. There were no operative complications or transfusions. CONCLUSION: In our report, patients of congenital seminal vesicle cyst associated with renal agenesis are presented. Laparoscopy is considered a minimal invasive management of these combined anomalies, providing a good image and an easy approach.

Keyword

Seminal vesicle; cyst; renal agenesis; laparoscopy

MeSH Terms

Adult
Aged
Cysts/*congenital/*diagnosis/surgery
Genital Diseases, Male/congenital/diagnosis/surgery
Humans
Kidney/*abnormalities/surgery
Magnetic Resonance Imaging
Male
Middle Aged
Seminal Vesicles/*pathology/radiography/surgery
Tomography, X-Ray Computed
Young Adult

Figure

• 

  Fig. 1 Sagittal view of pelvic magnetic resonance imaging of case 1. A 6.0 × 5.5 cm sized, round cystic mass is seen with contents of low signal intensity in T2 weighted image (A) and high signal intensity in T1 weighted image (B).

• 

  Fig. 2 Abdominopelvic computed tomography of case 3. It shows no left kidney, a remnant left ureter, and a junction of the ureter inserted into the seminal vesicle (arrow).

• 

  Fig. 3 Laparoscopic finding of case 3. After dissection of the remnant ureter, the junction of the seminal vesicle and remnant ureter is seen (arrow).

• 

  Fig. 4 Microscopic finding of the junction of the seminal vesicle and remnant ureter in case 3. Transition (arrow) of transitional epithelium to seminal vesicular epithelium is seen. The seminal vesicle is lined by columnar and basal cell with villous projections (H & E, ×40).

Reference

1. Sheih CP, Hung CS, Wei CF, Lin CY. Cystic dilatations within the pelvis in patients with ipsilateral renal agenesis or dysplasia. J Urol. 1990. 144:324–327.

2. Zinner A. Ein Fall von intravesikaler Samenblasenzyste. Wein Med Wochenschr. 1914. 64:605–609.

3. Donohue RE, Greenslade NF. Seminal vesicle cyst and ipsilateral renal agenesis. Urology. 1973. 2:66–69.

4. Roehrborn CG, Schneider HJ, Rugendorff EW, Hamann W. Embryological and diagnostic aspects of seminal vesicle cysts associated with upper urinary tract malformation. J Urol. 1986. 135:1029–1032.

5. van den Ouden D, Blom JH, Bangma C, de Spiegeleer AH. Diagnosis and management of seminal vesicle cysts associated with ipsilateral renal agenesis: a pooled analysis of 52 cases. Eur Urol. 1998. 33:433–440.

6. Basillote JB, Shanberg AM, Woo D, Perer E, Rajpoot D, Clayman RV. Laparoscopic excision of a seminal vesicle cyst in a child. J Urol. 2004. 171:369–371.

7. Ikari O, Castilho LN, Lucena R, D'Ancona CA, Netto NR Jr. Laparoscopic excision of seminal vesicle cysts. J Urol. 1999. 162:498–499.

8. Patel B, Gujral S, Jefferson K, Evans S, Persad R. Seminal vesicle cysts and associated anomalies. BJU Int. 2002. 90:265–271.

9. Beeby DI. Seminal vesicle cyst associated with ipsilateral renal agenesis: case report and review of literature. J Urol. 1974. 112:120–122.

10. Fuselier HA Jr, Peters DH. Cyst of seminal vesicle with ipsilateral renal agenesis and ectopic ureter: case report. J Urol. 1976. 116:833–835.

11. Das S, Amar AD. Ureteral ectopia into cystic seminal vesicle with ipsilateral renal dysgenesis and monorchia. J Urol. 1980. 124:574–575.

12. Cherullo EE, Meraney AM, Bernstein LH, Einstein DM, Thomas AJ, Gill IS. Laparoscopic management of congenital seminal vesicle cysts associated with ipsilateral renal agenesis. J Urol. 2002. 167:1263–1267.

13. Kavoussi LR, Schuessler WW, Vancaillie TG, Clayman RV. Laparoscopic approach to the seminal vesicles. J Urol. 1993. 150:417–419.