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[Seminal vesicle cyst with renal agenesis]
J A López García1, J Azparren Echevarría, G Garmendia
1Servicio de Urología, Hospital N.a Sra. de Aránzazu, San Sebastián, Guipúzcoa, España.
Archivos Espanoles De Urologia
|July 24, 1998
Summary
Congenital seminal vesicle cysts, often linked to solitary kidney, may be more common than previously thought. Early diagnosis via pelvic ultrasound is key for managing associated voiding disorders.
Area of Science:
- Urology
- Embryology
- Medical Imaging
Background:
- Seminal vesicle cysts are rare congenital anomalies.
- They often occur with genitourinary developmental abnormalities like renal agenesis.
- Embryonal development anomalies can lead to these conditions.
Purpose of the Study:
- To report 8 additional cases of seminal vesicle cysts associated with renal agenesis.
- To analyze the diagnostic utility of various imaging techniques for this condition.
- To highlight the association with embryonal genitourinary development.
Main Methods:
- Retrospective study of 8 patients.
- Evaluation of diagnostic capabilities of ultrasound (US), CT, MRI, urography, cystourethrography, and cystoscopy.
- Use of transvesical percutaneous punction and deferentography to diagnose blind-ending ureters.
Main Results:
- 75% of cysts were left-sided.
- Patients presented between 25-45 years old.
- Common symptoms included irritative voiding issues, perineal pain, and ejaculatory dysfunction.
Conclusions:
- Congenital seminal vesicle cysts may be underdiagnosed.
- Suspect this condition in patients with solitary kidneys and voiding problems.
- Pelvic US can suggest the diagnosis; specialized procedures are needed for blind-ending ureters.