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Large bilateral seminal vesicle calculi presenting with spermolithiasis
Sarah Anne Williams1, Michelle Christodoulidou2, Raj Nigam3
1Orthopaedics, Royal Free London NHS Foundation Trust, London, UK.
BMJ Case Reports
|June 4, 2017
Summary
Seminal vesicle calculi, a rare cause of painful ejaculation, were diagnosed in a 34-year-old male. This condition, characterized by
Area of Science:
- Urology
- Radiology
- Reproductive Medicine
Background:
- Seminal vesicle calculi are rare, and their clinical presentation can be varied.
- Painful ejaculation is an uncommon symptom that warrants thorough investigation.
Observation:
- A 34-year-old male reported 8 months of painful 'grit' in ejaculate with normal semen, urine, and blood tests.
- T1-weighted MRI showed bilateral high-signal areas in seminal vesicles, confirmed as calculi on T2-weighted imaging and vesiculogram.
Findings:
- The patient presented with bilateral seminal vesicle calculi causing painful ejaculation.
- Imaging revealed calculi and impaired drainage from the ejaculatory ducts.
Implications:
- This case highlights the importance of considering seminal vesicle calculi in the differential diagnosis of painful ejaculation.
- Robot-assisted laparoscopic vesiculotomy is a potential treatment option for this condition.
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