1
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Mínguez Ojeda C, Brasero Burgos J, Tenelanda Santillan A, Saiz A, Tagalos Muñoz AC, Subiela JD, Sanchez Gonzalez A, Artiles Medina A, Sanz Mayayo E, Rodriguez Patrón R, Jimenez Cidre MA, Burgos Revilla FJ. Schwannoma of the seminal vesicle: Case report and review of the literature. Urol Case Rep 2023; 50:102494. [PMID: 37455775 PMCID: PMC10344653 DOI: 10.1016/j.eucr.2023.102494] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2023] [Revised: 06/26/2023] [Accepted: 07/02/2023] [Indexed: 07/18/2023] Open
Abstract
Seminal vesicles can be affected by tumours originating in other locations. However, primary tumours of the seminal vesicle are extremely rare, with less than 100 cases reported in literature. Seminal vesicle adenocarcinoma is the most common type, but there are also other malign lesions. Diagnosis is challenging due to the lack of early symptoms and well-defined criteria. These tumours are usually asymptomatic and discovered incidentally during imaging tests or pelvic surgery. Definitive diagnosis requires anatomopathological analysis. Case report of 58-years-old man with schwannoma of the seminal vesicle. We describe the main characteristics of these tumours as well as their therapeutic approach.
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Affiliation(s)
| | | | | | - Ana Saiz
- Department of Pathological Anatomy, Hospital Universitario Ramón y Cajal, Madrid, Spain
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2
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Li K, Liu NB, Liu JX, Chen QN, Shi BM. Acute diffuse peritonitis secondary to a seminal vesicle abscess: A case report. World J Clin Cases 2023; 11:645-654. [PMID: 36793632 PMCID: PMC9923855 DOI: 10.12998/wjcc.v11.i3.645] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/26/2022] [Revised: 11/18/2022] [Accepted: 01/03/2023] [Indexed: 01/22/2023] Open
Abstract
BACKGROUND Seminal vesicle abscess (SVA) is the manifestation of a relatively rare urinary system infection. In response to urinary system inflammation, an abscess forms in special locations. However, acute diffuse peritonitis (ADP) induced by SVA is unusual. CASE SUMMARY We report a case of a left SVA in a male patient complicated with pelvic abscess, ADP, multiple organ dysfunction syndrome, infectious shock, bacteremia, and acute appendiceal extraserous suppurative inflammation as a result of a long-term indwelling urinary catheter. The patient received a course of morinidazole + cefminol antibiotics but showed no obvious relief, so the perineal SVA underwent puncture drainage and abdominal abscess drainage + appendectomy was performed. The operations were successful. After the operation, anti-infection, anti-shock, and nutritional support treatments were continued and various laboratory indicators were regularly reviewed. The patient was discharged from the hospital after recovery. This disease is a challenge for the clinician because of the unusual spreading path of the abscess. Moreover, appropriate intervention and adequate drainage of abdominal and pelvic lesions are necessary, especially when the primary focus cannot be determined. CONCLUSION The etiology of ADP varies, but acute peritonitis secondary to SVA is very rare. In this patient, the left SVA not only affected the adjacent prostate and bladder but also spread retrogradely through the vas deferens, forming a pelvic abscess in the loose tissues of the extraperitoneal fascia layer. Inflammation involving the peritoneal layer led to ascites and pus accumulation in the abdominal cavity, and appendix involvement led to extraserous suppurative inflammation. In clinical practice, surgeons need to consider the results of various laboratory tests and imaging examinations to make comprehensive judgments involving the diagnosis and treatment plan.
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Affiliation(s)
- Kun Li
- Department of General Surgery, Tongji Hospital of Tongji University, Shanghai 200065, China
| | - Nan-Bin Liu
- Department of General Surgery, Tongji Hospital of Tongji University, Shanghai 200065, China
- National and Local Joint Engineering Research Center of Biodiagnosis and Biotherapy, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710000, Shaanxi Province, China
| | - Jiang-Xi Liu
- Department of General Surgery, Tongji Hospital of Tongji University, Shanghai 200065, China
| | - Quan-Ning Chen
- Department of General Surgery, Tongji Hospital of Tongji University, Shanghai 200065, China
| | - Bao-Min Shi
- Department of General Surgery, Tongji Hospital of Tongji University, Shanghai 200065, China
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3
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Pakkasjärvi N, Mönttinen T, Hokkinen L, Mäkelä E, Taskinen S. Retrovesical cysts in boys—case series and literature review. ANNALS OF PEDIATRIC SURGERY 2022. [DOI: 10.1186/s43159-022-00228-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022] Open
Abstract
Abstract
Background
Retrovesical cysts present with varying etiologies. We initiated this study to provide insights into retrovesical cysts in boys through a case series and systematic literature review and to aid in treatment alternatives.
Materials and methods
Case series of seven patients from the in-hospital register with a systematic literature review on retrovesical cysts in children.
Results
We identified seven patients from the in-hospital register during 2005–2020 and eighty-two patients from the literature review. The literature review showed that children’s retrovesical cysts are mainly asymptomatic before puberty. Those detected earlier in childhood present mostly with renal abnormalities. In our series, retrovesical cysts derived from three distinct etiologies with different treatment modalities. Asymptomatic cysts do not need excision and are to be followed up through puberty, but in the case of an ectopic ureter, nephroureterectomy is optional. Symptomatic retrovesical cysts may demand surgical excision. Ultrasonography is usually sufficient for diagnosis, but MRI provides better anatomical delineation and aids in surgical planning.
Conclusions
Retrovesical cysts in boys are benign conditions associated with abnormal development of the ureter and kidney. Ultrasonography is sufficient for diagnosis, with MRI giving further detail for surgical planning. Treatment consists of cyst excision, heminephrectomy/nephrectomy, transurethral canalization, or excision of prostatic utricle, depending on etiology. Asymptomatic cases are to be followed up through puberty, but in cases of an ectopic ureter, nephroureterectomy is preferred.
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4
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Lascano D, Hsieh K, Kedia B, Higgins JP, Chung BI. Robotic‐assisted laparoscopic removal of dermoid cyst mimicking an enlarged cystic mass in the seminal vesicle. IJU Case Rep 2022; 5:346-349. [PMID: 36090941 PMCID: PMC9436656 DOI: 10.1002/iju5.12477] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2022] [Accepted: 05/11/2022] [Indexed: 11/09/2022] Open
Abstract
Introduction Isolated seminal vesicle cysts not associated with Zinner syndrome is a rare disorder that can present initially with urinary obstructive symptoms or nonspecific groin pain. Case description We present the uncommon case of a dermoid cyst mimicking a seminal vesicle cyst treated with robotic‐assisted laparoscopic seminal vesiculectomy. Conclusion For dermoid cysts, surgical excision is the gold standard of treatment with a high cure rate and little risk of regrowth if spillage is avoided and full resection is completed. Robotic‐assisted laparoscopic surgery is a viable management option with good visualization of the anatomy.
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Affiliation(s)
- Danny Lascano
- Department of Surgery Westchester Medical Center Valhalla New York USA
| | - Kelly Hsieh
- Department of Urology Stanford University School of Medicine Stanford California USA
| | - Bhuvi Kedia
- Department of Urology Stanford University School of Medicine Stanford California USA
| | - John P Higgins
- Department of Pathology Stanford University School of Medicine Stanford California USA
| | - Benjamin I Chung
- Department of Urology Stanford University School of Medicine Stanford California USA
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5
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Rose JMO, Banthia R, Tamboli Z, Lal H. Zinner syndrome: a rare diagnosis in infancy. BMJ Case Rep 2022; 15:e248558. [PMID: 35589266 PMCID: PMC9121408 DOI: 10.1136/bcr-2021-248558] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/08/2022] [Indexed: 11/04/2022] Open
Abstract
We present a case of Zinner syndrome (ZS), where we were fortunate to diagnose a child with this rare syndrome immediately after birth. Gross hydronephrosis was observed during the prenatal period on ultrasound, and further imaging after birth confirmed the presence of a multicystic dysplastic kidney and seminal vesicle cyst. The majority of cases of ZS is asymptomatic; however, symptoms relating to urination, ejaculation or infertility may present later on in life and so regular follow-up is required to ensure interventions can be carried out if such symptoms do occur.
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Affiliation(s)
| | - Ravi Banthia
- Urology, University Hospitals Coventry and Warwickshire NHS Trust, Coventry, Coventry, UK
- Urology and Renal Transplantation, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
| | - Zain Tamboli
- Urology and Renal Transplantation, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
| | - Hira Lal
- Radiodiagnosis, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
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6
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Di Paola V, Gigli R, Totaro A, Manfredi R. Zinner syndrome: two cases and review of the literature. BMJ Case Rep 2021; 14:14/6/e243002. [PMID: 34140330 DOI: 10.1136/bcr-2021-243002] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
Abstract
Zinner syndrome (ZS) is a rare congenital malformation due to abnormal development of the urogenital tract. It is caused by a growth failure of the distal part of the Müllerian duct in early embryogenesis. It is characterised by the triad of unilateral renal agenesis, ipsilateral seminal vesicle cyst and ipsilateral ejaculatory duct obstruction. Over the years, several cases have been reported in the literature since the initial report by Zinner in 1914. This syndrome is frequently misdiagnosed because it may present different patterns and the symptoms may be not specific. In this paper, we present two patients with two different patterns of presentation of Zinner syndrome.
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Affiliation(s)
- Valerio Di Paola
- Dipartimento di Diagnostica per Immagini, Radioterapia Oncologica ed Ematologia, UOC di Radiologia, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Roma, Italy
| | - Riccardo Gigli
- Istituto di Radiologia, Università Cattolica del Sacro Cuore, Roma, Italy
| | - Angelo Totaro
- Dipartimento di Scienze Gastroenterologiche, Endocrino-Metaboliche e Nefro-Urologiche, UOC di Urologia-Nefrologia e Trapianto, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Roma, Italy
| | - Riccardo Manfredi
- Dipartimento di Diagnostica per Immagini, Radioterapia Oncologica ed Ematologia, UOC di Radiologia, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Roma, Italy
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7
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Wilson J, Nettleton J, Patel B. An unusual case of LUTS in an adolescent man: a case report and literature review. JOURNAL OF CLINICAL UROLOGY 2021. [DOI: 10.1177/20514158211009395] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Congenital prostatic cysts are rare and it is unusual for these patients to present with symptoms. We report the case of a 17-year-old man who presented with obstructive lower urinary tract symptoms and was found to have a prostatic cyst and other abnormalities of the genitourinary system. The patient subsequently underwent transurethral aspiration of the cyst with good effect. A brief review of the embryology behind these lesions along with a review of the literature is provided. Level of evidence: Not applicable for this multicentre audit.
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Affiliation(s)
- Jacob Wilson
- Cheltenham General Hospital, Gloucestershire NHS Trust, UK
| | | | - Biral Patel
- Cheltenham General Hospital, Gloucestershire NHS Trust, UK
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8
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Debnath A, Cheriyan A, Daniel S, John NT. Laparoscopic resection of a large mixed epithelial-stromal tumour of the seminal vesicle: a rare entity and review of the current literature. BMJ Case Rep 2021; 14:14/2/e238526. [PMID: 33526529 PMCID: PMC7853003 DOI: 10.1136/bcr-2020-238526] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023] Open
Abstract
Mixed epithelial-stromal tumours (MESTs) of the seminal vesicle (SV) are a rare neoplasm, with biological behaviour ranging from benign to malignant. Due to their rarity, there are no established guidelines for their treatment. We report a 37-year-old man with a large MEST of the SV which was successfully resected by laparoscopic transperitoneal approach. Amidst the controversy regarding the nomenclature and grading of MESTs in literature, we reclassified the previous reports of MESTs incorporating both the WHO and Reikie et al grading.
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9
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Catania R, Dasyam N, Furlan A, Borhani AA. Cross-sectional imaging of seminal vesicles and vasa deferentia. Abdom Radiol (NY) 2020; 45:2049-2062. [PMID: 31897685 DOI: 10.1007/s00261-019-02368-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
A wide spectrum of pathologies, ranging from inconsequential degenerative and senile changes to clinically significant neoplasms, can affect seminal vesicles (SVs). With rapid rise in use of magnetic resonance imaging for evaluation of prostate in recent years an increasing number of cases of incidental SV pathologies are encountered by radiologists. Despite the high contrast resolution and high spatial resolution offered by multiparametric pelvic MRI, accurate diagnosis of SV processes can at times be challenging. In this article, we review the anatomy and embryology of the SVs and vasa deferentia and then explore the spectrum of diseases affecting them.
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Affiliation(s)
- Roberta Catania
- Division of Abdominal Imaging, Department of Radiology, University of Pittsburgh, Pittsburgh, PA, USA.,Department of Intensive Medicine, Institute of Radiology, IRCCS Policlinico San Matteo Foundation, University of Parvia, Parvia, Italy
| | - Navya Dasyam
- University of Pittsburgh School of Medicine, UPMC Presbyterian, Radiology Suite 200 East Wing 200 Lothrop Street, Pittsburgh, PA, 15213, USA
| | - Alessandro Furlan
- University of Pittsburgh School of Medicine, UPMC Presbyterian, Radiology Suite 200 East Wing 200 Lothrop Street, Pittsburgh, PA, 15213, USA
| | - Amir A Borhani
- University of Pittsburgh School of Medicine, UPMC Presbyterian, Radiology Suite 200 East Wing 200 Lothrop Street, Pittsburgh, PA, 15213, USA.
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10
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Tan Z, Li B, Zhang L, Han P, Huang H, Taylor A, Li X. Classifying seminal vesicle cysts in the diagnosis and treatment of Zinner syndrome: A report of six cases and review of available literature. Andrologia 2019; 52:e13397. [PMID: 31729082 DOI: 10.1111/and.13397] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/20/2019] [Revised: 06/30/2019] [Accepted: 07/15/2019] [Indexed: 01/21/2023] Open
Affiliation(s)
- Zhengwu Tan
- Department of Radiology Union Hospital Tongji Medical College Huazhong University of Science and Technology Wuhan China
| | - Bing Li
- Department of Urology Union Hospital Tongji Medical College Huazhong University of Science and Technology Wuhan China
| | - Lan Zhang
- Department of Radiology Union Hospital Tongji Medical College Huazhong University of Science and Technology Wuhan China
| | - Ping Han
- Department of Radiology Union Hospital Tongji Medical College Huazhong University of Science and Technology Wuhan China
| | - Haitao Huang
- Department of Radiology University of Minnesota Minneapolis Minnesota
| | - Andrew Taylor
- Department of Radiology University of Minnesota Minneapolis Minnesota
| | - Xin Li
- Department of Radiology Union Hospital Tongji Medical College Huazhong University of Science and Technology Wuhan China
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11
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Cito G, Sforza S, Gemma L, Cocci A, Di Maida F, Dabizzi S, Natali A, Minervini A, Carini M, Masieri L. Infertility case presentation in Zinner syndrome: Can a long-lasting seminal tract obstruction cause secretory testicular injury? Andrologia 2019; 51:e13436. [PMID: 31589772 DOI: 10.1111/and.13436] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2019] [Revised: 08/13/2019] [Accepted: 08/29/2019] [Indexed: 11/29/2022] Open
Abstract
Zinner syndrome (ZS) could represent an uncommon cause of male infertility, as result of the ejaculatory duct block, which typically leads to low seminal volume and azoospermia. A 27-year-old Caucasian man reported persistent events of scrotal-perineal pain and dysuria during the past 6 months. The andrological examination showed testicular volume of 10 ml bilaterally. Follicle-stimulating hormone was 32.0 IU/L, luteinising hormone was 16.3 IU/L, total testosterone was 9.0 nmol/L, and 17-beta-oestradiol was 0.12 nmol/L. The semen analysis revealed absolute azoospermia, semen volume of 0.6 ml and semen pH of 7.6. The abdominal contrast-enhanced computed tomography showed (a) left kidney agenesis; (b) an ovaliform hypodense mass of 65 × 46 millimetres with fluid content, which was shaping the bladder and the left paramedian prostatic region, compatible with a left seminal vesicle pseudocyst; and (c) an enlargement of the right seminal vesicle. The patient was diagnosed with ZS, and he was scheduled for robot-assisted laparoscopic left vesiculectomy. Subsequently, testis biopsy was characterised by complete germ cell aplasia. The onset symptomatology is often blurred and difficult to detect. It is important to diagnose and manage early this condition, because a long-lasting seminal tract obstruction could determine an irreversible secretory testicular injury.
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Affiliation(s)
- Gianmartin Cito
- Department of Urology, Careggi Hospital, University of Florence, Florence, Italy
| | - Simone Sforza
- Department of Urology, Careggi Hospital, University of Florence, Florence, Italy
| | - Luca Gemma
- Department of Urology, Careggi Hospital, University of Florence, Florence, Italy
| | - Andrea Cocci
- Department of Urology, Careggi Hospital, University of Florence, Florence, Italy
| | - Fabrizio Di Maida
- Department of Urology, Careggi Hospital, University of Florence, Florence, Italy
| | - Sara Dabizzi
- Sexual Medicine and Andrology Unit, Department of Experimental and Clinical Biomedical Sciences, Careggi Hospital, University of Florence, Florence, Italy
| | - Alessandro Natali
- Department of Urology, Careggi Hospital, University of Florence, Florence, Italy
| | - Andrea Minervini
- Department of Urology, Careggi Hospital, University of Florence, Florence, Italy
| | - Marco Carini
- Department of Urology, Careggi Hospital, University of Florence, Florence, Italy
| | - Lorenzo Masieri
- Department of Urology, Careggi Hospital, University of Florence, Florence, Italy
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12
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Cascini V, Di Renzo D, Guerriero V, Lauriti G, Lelli Chiesa P. Zinner Syndrome in Pediatric Age: Issues in the Diagnosis and Treatment of a Rare Malformation Complex. Front Pediatr 2019; 7:129. [PMID: 31024871 PMCID: PMC6465625 DOI: 10.3389/fped.2019.00129] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/09/2019] [Accepted: 03/19/2019] [Indexed: 11/29/2022] Open
Abstract
Zinner syndrome (ZS) is the association of congenital seminal vesicle cysts and ipsilateral upper urinary tract anomalies, such as multicystic displastic kidney (MCDK). This condition is rare in pediatric age and both diagnosis and treatment are challenging. The aim of this study was to analyze the issues in diagnosis, management, and treatment of ZS in pediatric age. The medical records of two patients with ZS were examined. Furthermore, a review of the literature on this topic in pediatric age was performed. In our experience the diagnosis of ZS was incidentally achieved in the first months of life, as a consequence of studies performed for a prenatal diagnosis of MCDK. The first patient presented unspecific and transient symptoms, the second infant was completely asymptomatic. They were conservatively treated, with a long-term follow-up planned at least until adolescence. Fifty cases of ZS in pediatric age have been reported in the literature up to now. Only 12/50 were diagnosed in the first year of life. The diagnosis was demanding, as the clinical presentation was unspecific and the results at imaging studies needed a differential diagnosis with other retrovesical masses. More than 80% of these cases were asymptomatic at long-term follow-up. Therefore, a conservative management of ZS has been accepted for asymptomatic or poorly symptomatic patients, with occasional, transient, and unspecific symptoms, such as urinary tract infections or orchyepididimytis. As the surgical management is challenging, it is proposed only in those symptomatic patients. In conclusion, ZS is rare in pediatric age. However, it should be considered in the differential diagnosis of cystic masses within the pelvis in males with ipsilateral renal anomalies. A conservative treatment with a long-term follow-up is a safe option in the management of asymptomatic or poorly symptomatic patients, thus reserving the surgical approach only in those cases with symptoms.
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Affiliation(s)
- Valentina Cascini
- Department of Pediatric Surgery, Spirito Santo Hospital of Pescara, G. D'Annunzio University of Chieti-Pescara, Chieti, Italy
| | - Dacia Di Renzo
- Department of Pediatric Surgery, Spirito Santo Hospital of Pescara, G. D'Annunzio University of Chieti-Pescara, Chieti, Italy
| | - Vittorio Guerriero
- Department of Pediatric Surgery, Spirito Santo Hospital of Pescara, G. D'Annunzio University of Chieti-Pescara, Chieti, Italy
| | - Giuseppe Lauriti
- Department of Pediatric Surgery, Spirito Santo Hospital of Pescara, G. D'Annunzio University of Chieti-Pescara, Chieti, Italy
| | - Pierluigi Lelli Chiesa
- Department of Pediatric Surgery, Spirito Santo Hospital of Pescara, G. D'Annunzio University of Chieti-Pescara, Chieti, Italy.,Department of Medicine and Aging Sciences, G. D'Annunzio University of Chieti-Pescara, Chieti, Italy
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13
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Kiremit MC, Acar O, Sag AA, Koseoglu E, Kilic M, Kordan Y, Balbay MD. Minimally Invasive Management of Zinner's Syndrome with Same-Session Robot-Assisted Seminal Vesiculectomy and Ipsilateral Nephroureterectomy Using a Single Geometry of Trocars. J Endourol Case Rep 2018; 4:186-189. [PMID: 30410997 PMCID: PMC6222210 DOI: 10.1089/cren.2018.0066] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Background: Seminal vesicle cyst is an extremely rare condition, which is frequently congenital and associated with Zinner's syndrome. This syndrome represents a constellation of seminal vesicle cyst, ipsilateral or contralateral renal agenesis or renal dysplasia, ureteral ectopia, and ejaculatory duct obstruction. We report a young symptomatic patient undergoing robot-assisted laparoscopic excision of a huge seminal vesicle cyst during which an atrophic ipsilateral kidney was discovered incidentally and managed by nephroureterectomy in the same session without changing trocar positions. Case Presentation: A 23-year-old male patient presented with a 2-year history of lower urinary tract symptoms, perineal pain, and recurrent urinary tract infections. Ultrasonography revealed the absence of left kidney and a fluid-filled cystic lesion located behind the bladder on the left side, which was consistent with cystic dilatation of the left seminal vesicle. MRI confirmed the diagnosis of a huge cystic structure originating from the left seminal vesicle and identified the presence of a rudimentary left ureter without an associated renal unit. Cystoscopy revealed bulging of the bladder neck at 6 o'clock position and the ureteral orifices at normal positions and configurations. Based on these findings, the clinical diagnosis was established as Zinner's syndrome. The present case was performed by Da Vinci Si robotic platform using the 5-trocar technique. Conclusion: Robot-assisted laparoscopic excision is a safe and feasible option to treat large seminal vesicle cysts, which may be a component of Zinner's syndrome. Simultaneous upper urinary tract interventions, such as nephroureterectomy, can be employed by redocking the robot and repositioning the patient, using the same layout of robotic trocars.
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Affiliation(s)
| | - Omer Acar
- Department of Urology, Koc University, Istanbul, Turkey
| | - Alan Alper Sag
- Division of Interventional Radiology, Department of Radiology, Eastern Virginia School of Medicine, Norfolk, Virginia
| | - Ersin Koseoglu
- Department of Urology, Koc University Hospital, Istanbul, Turkey
| | - Mert Kilic
- Department of Urology, Amerikan Hospital, Istanbul, Turkey
| | - Yakup Kordan
- Department of Urology, Koc University, Istanbul, Turkey
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14
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Millman AL, Kroczak T, Ordon M. Images - Large symptomatic seminal vesicle cyst treated with robotic-assisted seminal vesiculectomy. Can Urol Assoc J 2018; 13:E99-E101. [PMID: 30169154 DOI: 10.5489/cuaj.5420] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Affiliation(s)
| | - Tadeusz Kroczak
- Department of Surgery, Division of Urology, University of Toronto, Toronto, ON, Canada
| | - Michael Ordon
- Department of Surgery, Division of Urology, University of Toronto, Toronto, ON, Canada
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15
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16
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Aghaways I, Ahmed SM. Endourologic Intervention for Management of Infertility in a Man with Zinner Syndrome Resulting in a Natural Pregnancy. J Endourol Case Rep 2016; 2:71-3. [PMID: 27579422 PMCID: PMC4996586 DOI: 10.1089/cren.2016.0010] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
BACKGROUND Ipsilateral renal agenesis associated with seminal vesicular cysts is an uncommon finding. Zinner syndrome is a rare variant of wolffian duct anomalies with a triad of seminal vesicle cyst, ipsilateral renal agenesis, and male fertility problems due to ejaculatory duct obstruction (EDO). CASE PRESENTATION A 28-year-old man with 6 years history of primary infertility presented with left-side lower abdominal pain. A palpable cystic mass was found on digital rectal examination. Semen analysis revealed low volume ejaculate azoospermia. Abdominal ultrasonography revealed a single right kidney and transrectal ultrasonography showed an evidence of left EDO. Transurethral resection of the ejaculatory duct was performed. Semen analysis after 2 weeks showed normal sperm count (23M) and acceptable progressive motility (24%). Eight weeks later, his wife was pregnant with a 7-week viable fetus. CONCLUSION Although not a common disease, a careful physical examination and thorough semen analysis interpretation should guide clinicians to diagnose a surgically treatable syndromic cause of male infertility.
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Affiliation(s)
- Ismaeel Aghaways
- Urology Unit, Department of Surgery, School of Medicine, University of Sulaimani , Sulaimani, Iraq
| | - Shyaw M Ahmed
- Urology Unit, Department of Surgery, School of Medicine, University of Sulaimani , Sulaimani, Iraq
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17
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Pavan N, Bucci S, Mazzon G, Bertolotto M, Trombetta C, Liguori G. It's not always varicocele: A strange case of Zinner syndrome. Can Urol Assoc J 2015; 9:E535-8. [PMID: 26279734 DOI: 10.5489/cuaj.2451] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
A 42-year-old man presented with a huge varicocele. The patient was completely asymptomatic and he did not complain of dysuria, perineal discomfort, or ejaculatory pain. During the visit, the mass mimicked a varicocele and during the Valsalva maneuver a reflux was documented by colour Doppler ultrasound and an abdominal ultrasound revealed an agenesis of the right kidney and a 4.5-cm diameter intra-prostatic cyst. An abdominal and pelvis magnetic resonance imaging was then performed, which confirmed the right renal agenesis, with an epididymal enlargement in the body and tail. This is a unique case of Zinner syndrome in which the patient presented with a paratesticular mass mimicking a varicocele.
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Affiliation(s)
- Nicola Pavan
- Department of Urology, University of Trieste, Trieste, Italy
| | - Stefano Bucci
- Department of Urology, University of Trieste, Trieste, Italy
| | - Giorgio Mazzon
- Department of Urology, University of Trieste, Trieste, Italy
| | | | - Carlo Trombetta
- Department of Urology, University of Trieste, Trieste, Italy
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18
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Transurethral endoscopic treatment of seminal vesicle cysts (report of seven cases). Int Urol Nephrol 2015; 47:717-21. [DOI: 10.1007/s11255-015-0944-x] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2015] [Accepted: 03/02/2015] [Indexed: 10/23/2022]
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19
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Lotti F, Maggi M. Ultrasound of the male genital tract in relation to male reproductive health. Hum Reprod Update 2014; 21:56-83. [DOI: 10.1093/humupd/dmu042] [Citation(s) in RCA: 189] [Impact Index Per Article: 18.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023] Open
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20
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Jarzemski P, Listopadzki S, Kowalski M. Laparoscopic removal of a congenital seminal vesicle cyst in Zinner's syndrome. JSLS 2014; 18:367-71. [PMID: 24960509 PMCID: PMC4035656 DOI: 10.4293/108680813x13753907291477] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Introduction: Seminal vesicle cysts are rarely diagnosed, but symptomatic congenital seminal vesicle cysts are reported in the literature describing Zinner syndrome. Case Description: We present the case of a 26-year-old patient admitted to the urology department because of abdominal pain. A left seminal vesicle cyst and left kidney agenesis were found on examination, and the patient qualified for laparoscopic removal of the left seminal vesicle cyst. The procedure was performed with transperitoneal access using 5 trocars. The peritoneum was incised between the bladder and the rectum to reveal the left seminal vesicle, which was resected from the surrounding tissue. A TachoSil (Takeda Pharmaceuticals, Zurich, Switzerland) hemostatic sponge was placed in the ledge after cutting the base of the seminal vesicle. Discussion: The aim of this study was to evaluate usefulness of the laparoscopic technique to remove a cystic seminal vesicle. The procedure lasted 180 minutes, and the estimated blood loss was 50 mL. We did not record any intra- or postoperative complications. The patient was discharged from the hospital on the third postoperative day and remains symptom-free after 12 months. Histopathologic examination confirmed the presence of a seminal vesicle cyst, and renal agenesis and stenosis of the vas deferens suggests Zinner syndrome. Symptomatic seminal vesicle cysts are a good indication for the application of a laparoscopic technique and, in our opinion, this is better than the open technique because of the view into the surgical area. Therefore, it should be used as the method of choice in treating seminal vesicle defects.
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Affiliation(s)
- Piotr Jarzemski
- Department of Urology, Jan Biziel University Hospital, Ujejskiego 75 Street, 85-168 Bydgoszcz, Poland.
| | | | - Marek Kowalski
- Department of Urology, Jan Biziel University Hospital, Bydgoszcz, Poland
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21
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Coşkun B, Dalkılıç A, Sönmez NC, Arısan S, Ofluoğlu Y, Ergenekon E. A case of seminal vesicle cyst associated with ipsilateral renal agenesis diagnosed during an investigation of urinary incontinence. Turk J Urol 2013; 39:53-5. [PMID: 26328079 DOI: 10.5152/tud.2013.011] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2011] [Accepted: 01/10/2012] [Indexed: 11/22/2022]
Abstract
Seminal vesicle cysts are rare and usually associated with ipsilateral renal agenesis. The diagnosis of seminal vesicle cysts may be delayed or missed because of the non-specific symptoms of this condition. In this study, we aimed to discuss the diagnosis and treatment of a left seminal vesicle cyst that was associated ipsilateral agenesis in a 24-year-old patient who presented to our outpatient department with urinary incontinence. Ultrasonography and magnetic resonance imaging revealed a seminal vesicle cyst measuring 40×45 mm in diameter. Although the patient's symptoms were relieved with cyst aspiration via transrectal ultrasonography, the symptoms recurred 6 months later.
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Affiliation(s)
- Burhan Coşkun
- Clinic of Urology, İnegöl Public Hospital, Bursa, Turkey
| | - Ayhan Dalkılıç
- Clinic of Urology, Şişli Etfal Training and Research Hospital, İstanbul, Turkey
| | - Nurettin Cem Sönmez
- Clinic of Urology, Şişli Etfal Training and Research Hospital, İstanbul, Turkey
| | - Serdar Arısan
- Clinic of Urology, Şişli Etfal Training and Research Hospital, İstanbul, Turkey
| | - Yılmaz Ofluoğlu
- Clinic of Urology, Şişli Etfal Training and Research Hospital, İstanbul, Turkey
| | - Erbil Ergenekon
- Clinic of Urology, Şişli Etfal Training and Research Hospital, İstanbul, Turkey
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22
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23
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Ploumidis A, Sooriakumaran P, Philippou P, Wiklund NP. Robotic-assisted laparoscopic vesiculectomy for lower urinary tract obstruction by a large seminal vesicle cyst. Int J Surg Case Rep 2012; 3:375-8. [PMID: 22613183 DOI: 10.1016/j.ijscr.2012.04.014] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2012] [Accepted: 04/18/2012] [Indexed: 11/17/2022] Open
Abstract
INTRODUCTION Seminal vesicle (SV) cysts are rare, benign lesions. Most of them are congenital in origin and are usually diagnosed incidentally due to extensive imaging. When symptomatic, surgical excision is recommended. PRESENTATION OF CASE We describe the case of a 17.2cm seminal vesicle cyst removed using a transperitoneal, robotic-assisted laparoscopic approach in a 45-year old male with lower urinary tract symptoms and no other genitourinary abnormality. DISCUSSION Laparoscopic excision of seminal vesicle cysts is a minimal invasive alternative to the open technique with single-center studies reporting high success rates. With the advent of the robotic platform, urologists have shifted to this approach especially for confined anatomical spaces such as the pelvis. To our knowledge this is the largest seminal vesicle cyst described in the literature that has been managed by minimally invasive surgery. CONCLUSION With the advantage of combined 3D vision and wristed instrumentation, excision of large seminal vesicle cysts by robotic assisted laparoscopic approach is feasible, safe and regarded as a natural continuity of conventional laparoscopy. Previous experience in Robotic assisted laparoscopic prostatectomy (RALP) especially in the posterior dissection technique is recommended.
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Affiliation(s)
- Achilles Ploumidis
- Department of Molecular Medicine and Surgery, Section of Urology, Karolinska Institutet, Stockholm, Sweden
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24
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Heller MT, Hartman M, McGreevy B. Seminal vesicle cysts causing pelvic pain: importance of computed tomography. Am J Emerg Med 2012; 30:2087.e1-6. [PMID: 22386342 DOI: 10.1016/j.ajem.2011.12.017] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2011] [Accepted: 12/11/2011] [Indexed: 11/26/2022] Open
Abstract
A seminal vesicle cyst is a rare etiology of pelvic pain. However, its rarity may result in oversight or misinterpretation if the radiologist or emergency physician is unfamiliar with this entity. Seminal vesicle cysts may cause pelvic pain because of mass effect, infection, internal hemorrhage, or urinary and bladder obstruction. Because seminal vesicle cysts rarely result in physical examination findings or laboratory abnormalities, pelvic computed tomography plays a pivotal role in their diagnosis and in evaluating patients with pelvic pain. Recognition of the imaging findings of seminal vesicle cysts is necessary to allow prompt, accurate diagnosis. Therefore, emergency physicians and radiologists interpreting examinations from the emergency department should be familiar with these imaging findings because seminal vesicle cysts may be the etiology of pelvic pain and the patient may benefit from urologic consultation and cyst aspiration or resection. The purposes of this article are to provide examples of pelvic pain caused by seminal vesicle cysts, illustrate the key imaging findings on computed tomography, and briefly review the literature.
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Affiliation(s)
- Matthew T Heller
- Department of Radiology, University of Pittsburgh Medical Center, Pittsburgh, PA 15213, USA.
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25
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Lotti F, Corona G, Colpi GM, Filimberti E, Innocenti SD, Mancini M, Baldi E, Noci I, Forti G, Maggi M. Seminal vesicles ultrasound features in a cohort of infertility patients. Hum Reprod 2012; 27:974-82. [DOI: 10.1093/humrep/des032] [Citation(s) in RCA: 42] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022] Open
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26
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Jhaveri KS, Mazrani W, Chawla TP, Filobbos R, Toi A, Jarvi K. The Role of Cross-sectional Imaging in Male Infertility: A Pictorial Review. Can Assoc Radiol J 2010; 61:144-55. [DOI: 10.1016/j.carj.2010.01.002] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2009] [Revised: 01/04/2010] [Accepted: 01/05/2010] [Indexed: 11/17/2022] Open
Abstract
Infertility is a common problem. The role of imaging in assisting clinical evaluation is discussed. Ultrasound and magnetic resonance imaging are first-line, noninvasive imaging techniques that provide accurate definition of anatomical causes of infertility. This affords an opportunity to deliver timely and appropriate treatment. This pictorial review illustrates normal imaging anatomy and various causes of male infertility, and focuses on congenital and acquired testicular abnormalities and post-testicular obstruction, such as congenital absence of the vasa deferentia, seminal vesicle cysts, prostatic utricle cysts, Mullerian cysts, ejaculatory duct cysts (Wolffian cysts), and epididymal obstruction.
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Affiliation(s)
- Kartik S. Jhaveri
- Abdominal Imaging, University Health Network and Mount Sinai Hospital, Toronto, Ontario, Canada
| | - Waseem Mazrani
- Abdominal Imaging, University Health Network and Mount Sinai Hospital, Toronto, Ontario, Canada
| | - Tanya P. Chawla
- Abdominal Imaging, University Health Network and Mount Sinai Hospital, Toronto, Ontario, Canada
| | - Rafiq Filobbos
- Abdominal Imaging, University Health Network and Mount Sinai Hospital, Toronto, Ontario, Canada
| | - Ants Toi
- Abdominal Imaging, University Health Network and Mount Sinai Hospital, Toronto, Ontario, Canada
| | - Keith Jarvi
- Department of Urology, Mount Sinai Hospital, University of Toronto, Toronto, Ontario, Canada
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27
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Méndez-Probst CE, Pautler SE. Fusion of the seminal vesicles discovered at the time of robot-assisted laparoscopic radical prostatectomy. J Robot Surg 2010; 4:45-7. [PMID: 27638572 DOI: 10.1007/s11701-010-0172-4] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2009] [Accepted: 01/18/2010] [Indexed: 11/29/2022]
Abstract
The reported incidence of seminal vesicle anomalies is low, and it usually occurs in association with other genitourinary anomalies, thus frequently diagnosed by a cluster of fertility, pain or obstructive symptoms. We present a case of a clinically silent seminal vesicle fusion encountered during a robotic assisted radical prostatectomy. Awareness of potential congenital anomalies is crucial for surgeons, to prevent surgical complications or adverse outcomes as a result of the altered anatomy.
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Affiliation(s)
- Carlos E Méndez-Probst
- Divisions of Urology and Surgical Oncology, Departments of Surgery and Oncology, The University of Western Ontario, London, ON, Canada
| | - Stephen E Pautler
- Divisions of Urology and Surgical Oncology, Departments of Surgery and Oncology, The University of Western Ontario, London, ON, Canada.
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28
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Nassir A. Symptomatic cystic seminal vesicle: a laparoscopic approach for effective treatment. Can Urol Assoc J 2009; 3:E81-3. [PMID: 20019960 DOI: 10.5489/cuaj.1186] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
This case report highlights a symptomatic cystic seminal vesicle lesion, treated laparoscopically. A young adult male known to have congenital right renal agenesis presented with a history of recurrent right iliac fossa pain, as well as deep pelvic discomfort. The preoperative evaluation revealed a 7 x 4.5 x 4 cm cystic seminal vesicle mass. After discovery of the mass, the patient underwent a transperitoneal laparoscopic excision of the lesion. The patient was discharged on the third postoperative day and had an uneventful recovery. There were no complications noted during a routine follow-up. The laparoscopic approach was shown to be effective in the management of this rare condition.
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Affiliation(s)
- Anmar Nassir
- Assistant Professor of Urology, Um Al-Qura University, King Faisal Specialist Hospital & Research Center, Kingdom of Saudi Arabia
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29
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Pereira BJ, Sousa L, Azinhais P, Conceição P, Borges R, Leão R, Brandão A, Temido P, Retroz E, Sobral F. Zinner's syndrome: an up-to-date review of the literature based on a clinical case. Andrologia 2009; 41:322-30. [PMID: 19737281 DOI: 10.1111/j.1439-0272.2009.00939.x] [Citation(s) in RCA: 59] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
Abstract
The authors made an up-to-date review of the literature concerning the management of Zinner's syndrome and evaluated a young patient with Zinner's syndrome who had presented with urinary and ejaculatory complaints. Physical examination and transrectal ultra-sonography showed a 7.0 cm right seminal vesicle cyst. Magnetic resonance imaging (MRI) confirmed the diagnosis of Zinner's syndrome. Oligoasthenoteratozoospermia was present at the two seminal analyses. Symptomatic improvement was achieved with conservative measures. Actually, the patient is still on a follow-up programme. The diagnosis is usually established at the age of increased sexual activity. Patients may be asymptomatic or present pain, irritative urinary or ejaculatory symptoms and infertility. MRI has proved to be the best imaging examination. Treatment should be adapted to symptoms, surveillance being the best option in the absence of clinical manifestations. Surgical approach may be adequate when conservative measures prove ineffective. Zinner's syndrome should be suspected if a male young patient presents with unilateral renal agenesis and pelvic complaints and has a supraprostatic mass on digital rectal examination. The initial approach should be medical, but invasive procedures may be the only way to solve the patient's complaints. Nowadays, laparoscopic and robotic techniques must replace the open surgical approach.
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Affiliation(s)
- B J Pereira
- Department of Urology of the Centro Hospitalar Coimbra, Hospital dos Covões, Portugal.
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30
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[Case of a laparoscopic seminal vesicle cyst excision]. Nihon Hinyokika Gakkai Zasshi 2009; 100:650-4. [PMID: 19827544 DOI: 10.5980/jpnjurol.100.650] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
A 58-year-old man was referred to our hospital for investigation and treatment of a retrovesical cystic tumor that was detected during his annual health check-up. Computed tomography and magnetic resonance imaging (MRI) showed a 5 cm cystic mass including a 1.5 cm solid mass between the bladder and rectum. Transrectal biopsy was performed successfully, and did not show any evidence of malignancy. Six months later, the cystic mass enlarged, and video-assisted laparoscopic excision of the cystic mass was performed. The mass was pathologically diagnosed as a seminal vesicle cyst. Because of the rarity of this lesion, only 11 cases of laparoscopic excision have been reported and, to our knowledge, this is the first case in the Japanese literature. Under the laparoscopic prostatectomy approach, we could safely resect the lesion.
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31
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Seo IY, Kim HS, Rim JS. Congenital seminal vesicle cyst associated with ipsilateral renal agenesis. Yonsei Med J 2009; 50:560-3. [PMID: 19718406 PMCID: PMC2730620 DOI: 10.3349/ymj.2009.50.4.560] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/20/2008] [Revised: 11/07/2008] [Accepted: 11/27/2008] [Indexed: 11/29/2022] Open
Abstract
PURPOSE A seminal vesicle cyst in combination with ipsilateral renal agenesis is rarely encountered. We present cases of this disease entity with symptoms, which were treated with a laparoscopic approach as a minimally invasive surgical treatment. MATERIALS AND METHODS We experienced 4 patients with seminal vesicle cysts and ipsilateral renal agenesis. The mean age was 45.8 years. Chief complaints were perineal pain and hematospermia. Seminal vesicle cysts and remnant ureters were excised by laparoscopic surgery with transperitoneal approaches. RESULTS The mean operative time was 133.8 minutes. The mean hospital stay was 6.8 days. There were no operative complications or transfusions. CONCLUSION In our report, patients of congenital seminal vesicle cyst associated with renal agenesis are presented. Laparoscopy is considered a minimal invasive management of these combined anomalies, providing a good image and an easy approach.
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Affiliation(s)
- Ill Young Seo
- Department of Urology, Institute of Wonkwang Medical Science, Wonkwang University School of Medicine, Iksan, Korea.
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32
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Han P, Dong Q, Shi M, Yang YR, Wei Q. Seminal Vesicle Cyst and Ipsilateral Renal Agenesis: Laparoscopic Approach. ACTA ACUST UNITED AC 2009; 53:285-8. [DOI: 10.1080/01485010701569882] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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33
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Schukfeh N, Kuebler JF, Schirg E, Petersen C, Ure BM, Glüer S. Dysplastic kidney and not renal agenesis is the commonly associated anomaly in infants with seminal vesicle cyst. BJU Int 2009; 103:816-9. [DOI: 10.1111/j.1464-410x.2008.08072.x] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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34
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Seminal vesicle abscesses associated with ipsilateral multicystic dysplastic kidney in an infant. Pediatr Nephrol 2008; 23:1551-4. [PMID: 18458954 DOI: 10.1007/s00467-008-0839-5] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/25/2008] [Revised: 03/25/2008] [Accepted: 03/25/2008] [Indexed: 01/26/2023]
Abstract
Seminal vesicle cysts are rare lesions and usually asymptomatic. However, when symptoms occur it is typically during the early sexually active period. Furthermore, seminal vesicle abscesses (SVAs) are extremely rare and often difficult to diagnose due to the absence of any typical clinical signs. We herein describe a 2-month-old boy with a left SVA and ipsilateral multicystic dysplastic kidney (MCDK) who presented with a recurrent urinary tract infection (UTI). Magnetic resonance imaging proved to be a valuable diagnostic tool in our patient. Percutaneous transrectal puncture and aspiration were performed, because of recurrent UTI when intravenous antibiotic therapy had been stopped. Three weeks after the procedure, however, the SVA recurred, and, therefore, a transperitoneal laparoscopic excision of the left SVA, ureteral remnant and dysplastic renal tissue was performed. To the best of our knowledge, this is the first case of infantile SVA associated with ipsilateral MCDK. Pediatric clinicians should consider this urological anomaly in boys presenting with intractable UTI, although it is extremely rare.
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35
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Wadei HM, Brumble L, Broderick GA, Gonwa TA. Polymicrobial seminal vesical abscess in a kidney transplant recipient. Urology 2008; 72:296. [PMID: 18468658 DOI: 10.1016/j.urology.2008.03.039] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2008] [Revised: 02/14/2008] [Accepted: 03/25/2008] [Indexed: 11/28/2022]
Abstract
Seminal vesicle abscess is extremely rare and is associated with specific predisposing conditions. Here we report a polymicrobial seminal vesicle abscess in a kidney transplant recipient that was not associated with any of the known precipitating events.
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Affiliation(s)
- Hani M Wadei
- Department of Transplantation, Mayo Clinic College of Medicine, Jacksonville, Florida 32216, USA.
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36
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Kosan M, Tul M, Inal G, Ugurlu O, Adsan O. A large seminal vesicle cyst with contralateral renal agenesis. Int Urol Nephrol 2006; 38:591-2. [PMID: 17115245 DOI: 10.1007/s11255-005-4982-7] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
Seminal vesicle cysts (SVC) are rather rare disorders. Our case is the first in literature where contralateral renal agenesis was seen together with SVC and surgically managed. We believe that the occurrence of these two coinciding abnormalities is incidental.
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Affiliation(s)
- Murat Kosan
- Ankara Numune Education and Research Hospital, 2nd Urology Clinic, Ankara, Turkey
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37
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Gözen AS, Alagöl B. Endoscopic Management of Seminal-Vesical Cyst with Right Renal Agenesis Causing Acute Urinary Retention: Case Report. J Endourol 2006; 20:919-22. [PMID: 17144864 DOI: 10.1089/end.2006.20.919] [Citation(s) in RCA: 15] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Seminal-vesicle cysts associated with renal agenesis are rare congenital or acquired lesions. We report a case of seminal-vesicle cyst causing urinary retention in a young patient with right renal agenesis who was treated successfully with transurethral unroofing. Magnetic resonance imaging aided us in making the conclusive diagnosis without the need for any invasive investigations.
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Affiliation(s)
- A S Gözen
- Department of Urology, Trakya University Medical School, Edirne, Turkey.
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38
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Abstract
Primary tumors of the seminal vesicle are quite rare with most reported cases being carcinomas. However, benign tumors of the seminal vesicle are extremely rare. We report a case of a cystadenomas of the seminal vesicles in a 46-year-old asymptomatic man, which was detected incidentally by computed tomography.
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Affiliation(s)
- Choong Bum Lee
- Department of Urology, St. Vincent Hospital, College of Medicine, The Catholic University of Korea, Suwon, Korea
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39
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Merrot T, Lumenta DB, Tercier S, Morisson-Lacombes G, Guys JM, Alessandrini P. Multicystic dysplastic kidney with ipsilateral abnormalities of genitourinary tract: experience in children. Urology 2006; 67:603-7. [PMID: 16527586 DOI: 10.1016/j.urology.2005.09.062] [Citation(s) in RCA: 38] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2005] [Revised: 08/19/2005] [Accepted: 09/16/2005] [Indexed: 01/09/2023]
Abstract
OBJECTIVES To investigate the incidence, nature, and management of associated ipsilateral genitourinary malformations in children with multicystic dysplastic kidney (MCDK). METHODS In this retrospective study, we analyzed the medical records and imaging studies of 93 patients with MCDK. Patients underwent ultrasonography, voiding cystourethrography, intravenous urography, and radionuclide renal imaging studies during their first month of age. RESULTS A diagnosis of MCDK associated with malformation of the ipsilateral internal genitalia was confirmed in 11 patients after birth investigations of prenatal MCDK. Three were diagnosed at 1, 12, and 14 years of age because of epididymitis, pelvic pain associated with amenorrhea, and accidentally during lumbar pain assessment, respectively. The male/female sex ratio was 10:4. The left side was involved in 9 patients. We had 3 cases of Gartner duct persistence, 6 of cystic retrovesical and laterovesical masses with vanishing MCDK, 4 of cystic retrovesical or laterovesical masses with compressive MCDK, and 1 of a blind-ending hemivagina. Nine patients were periodically observed, and four underwent nephroureterectomy. All patients underwent 6-month follow-up examinations with ultrasonography (mean follow-up 6.54 years, range 36 months to 14 years). CONCLUSIONS Of the 93 patients with MCDK, 14 (15%) had malformations of the ipsilateral internal genitalia. Persistence of seminal cysts in boys and Gartner ducts were encountered even if the MCDK had involuted. These results suggest that follow-up of patients with MCDK should be performed until the end of puberty to detect genitourinary malformations.
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Affiliation(s)
- Thierry Merrot
- Department of Pediatric Surgery, Hôpital Nord, Marseille, France.
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40
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Moudouni SM, Tligui M, Doublet JD, Tchala K, Haab F, Gattegno B, Thibault P. Laparoscopic excision of seminal vesicle cyst revealed by obstruction urinary symptoms. Int J Urol 2006; 13:311-4. [PMID: 16643636 DOI: 10.1111/j.1442-2042.2006.01294.x] [Citation(s) in RCA: 17] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
Primary diseases of the seminal vesicle are rare. Most seminal vesicle cysts are congenital, and two-thirds are associated with renal dysplasia or agenesis and ectopic ureter opening into the seminal vesicle. Acquired cysts may be due to genitourinary infections, surgical prostate resection or ejaculatory duct lithiasis. We report a case of video laparoscopic ablation of seminal vesicle cysts.
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41
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Chen HW, Huang SC, Li YW, Chen SJ, Sheih CP. Magnetic Resonance Imaging of Seminal Vesicle Cyst Associated with Ipsilateral Urinary Anomalies. J Formos Med Assoc 2006; 105:125-31. [PMID: 16477332 DOI: 10.1016/s0929-6646(09)60333-8] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
BACKGROUND Seminal vesicle cysts rarely cause symptoms. Data on long-term follow-up from childhood to adulthood are lacking. The study analyzed the magnetic resonance imaging (MRI) and follow-up results of this condition. METHODS From 1991 to 1996, seminal vesicle cyst was diagnosed in 13 boys (mean age, 12 years; range, 7-15 years), six of whom had long-term follow-up data. The clinical symptoms and MRI findings at diagnosis and at follow-up were analyzed. RESULTS The seminal vesicle cyst was on the right side in six patients and on the left in seven. The size varied, ranging from 1.0 x 1.3 x 1.4 to 4.4 x 3.1 x 3.6 cm. All showed high signal intensity on T2-weighted images but variable signal intensity on T1-weighted images. Associated urinary tract anomalies included renal anomalies (dysplasia in 2 patients, agenesis in 11), ectopic ureteral orifice (11), hydroureter (6), and vertebral anomalies (2). One of the six patients with follow-up had repeated urinary tract infection and underwent surgical resection of the cyst 8 years after the diagnosis. The other five had no symptoms during the follow-up period. Three of the six patients had repeat MRI after a median of 11 years, which showed slight cyst enlargement and increased T1-weighted signal intensity. CONCLUSION Most seminal vesicle cysts were asymptomatic and did not change during long-term follow-up. MRI is a powerful tool for detecting seminal vesicle cysts and in delineating associated congenital anomalies of the urogenital tract.
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Affiliation(s)
- Huan-Wu Chen
- Department of Diagnostic Radiology, Chang Gung Memorial Hospital, Taipei, Taiwan, ROC
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42
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Carmack AJK, Siddiq FM, Leveillee RJ. Novel use of da Vinci Robotic Surgical System: Removal of seminal vesicle cyst in previously dissected pelvis. Urology 2006; 67:199. [PMID: 16413369 DOI: 10.1016/j.urology.2005.07.023] [Citation(s) in RCA: 17] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2004] [Revised: 06/15/2005] [Accepted: 07/13/2005] [Indexed: 11/27/2022]
Abstract
We report a novel use of the da Vinci Robotic Surgical System to remove a seminal vesicle cyst in a previously dissected pelvis.
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Bernstein G, Kehren J, Kaplan K, Kang P, McLeod D. Acquired seminal vesicle cyst causing acute urinary retention and hydronephrosis. J Urol 2004; 172:1010-1. [PMID: 15311025 DOI: 10.1097/01.ju.0000134699.18206.7a] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Affiliation(s)
- Gregory Bernstein
- Departments of Urology, Pathology and Radiology, Walter Reed Army Medical Center, Washington, D. C., USA
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Murphy JO, Power RE, Akhtar M, Torreggiani WC, McDermott TED, Thornhill JA. Magnetic resonance imaging in the diagnosis of seminal vesicle cysts and associated anomalies. J Urol 2004; 170:2386. [PMID: 14634425 DOI: 10.1097/01.ju.0000088339.38119.40] [Citation(s) in RCA: 17] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Affiliation(s)
- J O Murphy
- Department of Urology, Adelaide and Meath Hospital (incorporating the National Children's Hospital), Tallaght, Dublin, Ireland
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