Korean J Androl.  2011 Dec;29(3):251-253. 10.5534/kja.2011.29.3.251.

Laparoscopic Excision of a Congenital Seminal Vesicle Cyst and Coexisting Ipsilateral Renal Agenesis

• Jung YS
• Wee JH
• Choi JB
• Choi MS
• Kim S
• Sohn JH
• Lee JH
• Kang SH
• Lee YS
• Han CH

• KMID: 2226460
• DOI: http://doi.org/10.5534/kja.2011.29.3.251

Abstract

Seminal vesicle cyst (SVC) with ipsilateral renal agenesis is a rare congenital anomaly. When the patient is symptomatic, surgical treatment may be necessary. The open surgical approach, traditionally considered the definite form of treatment, has been associated with a high rate of morbidity. The laparoscopic approach for the management of SVCs has recently been described. A 18-year-old man presented with a 2-year history of dysuria and perineal pain. The diagnostic evaluation revealed a 45x35x48 mm sized left seminal vesicle cyst. In addition, he had a solitary, right, functioning kidney, with left renal agenesis. Transperitoneal laparoscopic excision of the cyst was performed successfully. The patient was discharged from the hospital on the fourth postoperative day and did not present with any complaints or complications.

Keyword

Seminal vesicle; Cyst; Renal agenesis

MeSH Terms

Adolescent
Congenital Abnormalities
Dysuria
Humans
Kidney
Kidney Diseases
Seminal Vesicles
Congenital Abnormalities
Kidney
Kidney Diseases

Figure

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  Fig. 1. Coronal view of pelvis MRI showing a left seminal vesicle cyst.

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  Fig. 2. Operative view under laparoscopy. The dilated seminal vesicle cyst is exposed.

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  Fig. 3. Histopathological findings of the seminal vesicle cyst. The cyst is lined by cuboidal epithelium with a fibrous wall of variable thickness (H&E, ×400).

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