Korean J Urol.  2011 Jun;52(6):431-433.

Laparoendoscopic Single-Site Surgery (LESS) for Excision of a Seminal Vesicle Cyst Associated with Ipsilateral Renal Agenesis

• Jang KD
• Choi KH
• Yang SC
• Jang WS
• Jang JY
• Han WK

Abstract

We report a case of laparoendoscopic single-site surgery (LESS) for a symptomatic left seminal vesicular cyst and ipsilateral renal agenesis. A 49-year-old man presented with a 1-year history of severe irritation upon voiding and intractable, recurrent hematospermia. A computed tomography scan showed a 68x41x38 mm sized left seminal vesicular cyst with ipsilateral renal agenesis. LESS was performed successfully to treat the seminal vesicle cyst. The total operative time was 125 minutes, and blood loss was minimal. The patient was discharged from the hospital on the second postoperative day.

Keyword

Cysts; Laparoscopy; Minimal access surgical procedures; Seminal vesicles

MeSH Terms

Congenital Abnormalities
Hemospermia
Humans
Kidney
Kidney Diseases
Laparoscopy
Middle Aged
Operative Time
Seminal Vesicles
Surgical Procedures, Minimally Invasive
Congenital Abnormalities
Kidney
Kidney Diseases

Figure

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  FIG. 1 A pelvic computed tomography scan showing a left seminal vesicular cyst (*), measuring 6.8×4.1×3.8 cm, and ipsilateral renal agenesis. (A) Cross-sectional view, (B) Coronal view.

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  FIG. 2 A laparoscopic image showing the exposed and dilated seminal vesicular cyst (*).

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  FIG. 3 Histopathological findings of the seminal vesicular cyst.

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  FIG. 4 Postoperative 6-months follow-up CT scan of the abdomen demonstrating complete resection of the seminal vesicular cyst.

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