title: [Diagnosis and treatment of seminal vesicle cyst].
abstract: OBJECTIVE
  To deepen the understanding of patients with seminal vesicle cyst for correct diagnosis and treatment.
  
  
  METHODS
  Sixteen patients with seminal vesicle cysts were treated in the period of January 1980-May 2002. Their symptoms, diagnostic results, treatment and outcomes were analyzed retrospectively. The mean age of these patients at diagnosis was 31 years (range 19 - 43). Two patients were associated with ipsilateral renal agenesis. Symptoms included hematospermia in 12 (75%) patients, urinary frequency in 8 (50%), hematuria after ejaculation in 6 (27.5%), perineal malaise in 6 (27.5%), infertility in 3 (13.7%), pain after ejaculation in 3 (13.7%), scrotal pain in 2 (12.5%) and dysuria in 1 (6.3%). Cyst was palpable in 81.3% patients on digital rectal examination. All patients underwent intravenous urography and cystoscopy. Others received ultrasonography, CT scanning, MRI, and vasovesiculography. The size of masses ranged from 3.8 cm x 3.0 cm x 2.6 cm to 9.6 cm x 5.2 cm x 5.0 cm. Final open surgery consisted of vesiculectomy (4 patients) and partial vesiculectomy (12).
  
  
  RESULTS
  Postoperative course was uneventful except in 1 patient with epididymitis. All patients were free of symptoms after open surgery.
  
  
  CONCLUSIONS
  Seminal vesicle cysts are rare but should be considered in men with hematospermia and otherwise inexplicable bladder irritation symptoms, perineal discomfort or other genitourinary complaints of unknown etiology. Diagnosis consists of digital rectal examination, transrectal and abdominal ultrasonography, CT scan or MRI. Vesiculectomy and partial vesiculectomy give excellent results.
authors.affiliation: Department of Urology, Xijing Hospital, Fourth Military Medical University, Xi'an 710033, China.
authors.forename: Bo
authors.initials: B
authors.lastname: Zhang
authors.forename: He
authors.initials: H
authors.lastname: Wang
authors.forename: Geng
authors.initials: G
authors.lastname: Zhang
authors.forename: Guo-jun
authors.initials: GJ
authors.lastname: Wu
authors.forename: Jian-lin
authors.initials: JL
authors.lastname: Yuan
authors.forename: Rong-liang
authors.initials: RL
authors.lastname: Qin
authors.forename: Bao-qi
authors.initials: BQ
authors.lastname: Chen
mesh_terms: D000328:Adult; D003560:Cysts / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008297:Male; D012669:Seminal Vesicles