Urology Textbook
Clinical Essentials
By Dirk Manski, MD

 You are here: Urology Textbook > Prostate > Seminal vesicle cysts

Seminal Vesicle Cysts

Seminal vesicle cysts are congenital or acquired and usually develop secondary to obstruction of the seminal tract. In congenital cysts, consider Zinner syndrome, characterized by ipsilateral renal agenesis or renal dysplasia and obstruction of the ejaculatory duct. Another cause is autosomal dominant polycystic kidney disease (ADPKD). Important differential diagnoses include an ectopic ureter, Müllerian duct cyst, prostatic cyst, and ureterocele. MRI is the diagnostic modality of choice (Arora et al., 2007).

Treatment is necessary only in the presence of symptoms or infection. Percutaneous perineal cyst drainage with sclerotherapy is an option but carries a relevant risk of recurrence. For large cysts or recurrence, consider laparoscopic, robot-assisted, or open seminal vesiculectomy. In the case of an ectopic ureter, laparoscopic nephroureterectomy with seminal vesiculectomy is the most common treatment option because renal function is often absent.






Index: 1–9 A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

References

Arora, S. S.; Breiman, R. S.; Webb, E. M.; Westphalen, A. C.; Yeh, B. M. & Coakley, F. V. CT and MRI of congenital anomalies of the seminal vesicles.
AJR Am J Roentgenol, 2007, 189, 130-135



  Deutsche Version: Samenblasenzysten

Urology-Textbook.com – Choose the Ad-Free, Professional Resource

This website is designed for physicians and medical professionals. It presents diseases of the genital organs through detailed text and images. Some content may not be suitable for children or sensitive readers. Many illustrations are available exclusively to Steady members. Are you a physician and interested in supporting this project? Join Steady to unlock full access to all images and enjoy an ad-free experience. Try it free for 7 days—no obligation.

New release: The first edition of the Urology Textbook as an e-book—ideal for offline reading and quick reference. With over 1300 pages and hundreds of illustrations, it’s the perfect companion for residents and medical students. After your 7-day trial has ended, you will receive a download link for your exclusive e-book.