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 cystourethroscopy. Surgical excision of the cyst is the definitive treatment. We present a case of right seminal vesicle cyst associated with ipsilateral renal agenesis, with a review of the pertinent literature.