[Diagnosis and management of cystic dysplasia of the seminal vesicle].
OBJECTIVE
Cystic dysplasia of the seminal vesicle represents a rare congenital urologic anomaly of which elective treatment is controversial. We present our experience in the diagnosis and management of this uncommon pathology.


METHODS
During the last twelve years we have managed eight patients affected by this pathology. The diagnosis was incidental in the three asymptomatic patients, while the other five consulted because of low urinary tract sympthoms. Ectopic drainage of the ureter in the pathological seminal vesicle was found in three of the patients. Two of these patients presented large pelvic and ureteral ectasy. Other five patients presented renal agenesis.


RESULTS
In asymptomatic patients we adopted an expectant attitude, while the other five patients underwent surgical treatment. We performed open surgery in the two cases presenting ureterohydronephrosis, whereas in the other three we performed transurethral incision of the seminal vesicle. We obtained excellent results in all of them, with no evidence of symptomatic pseudodiverticulum.


CONCLUSIONS
Transurethral incision of the seminal vesicle cyst is a minimal invasive procedure with low morbidity. We have proved in all of our cases that the retraction of the cyst was practically complete, this has led us into believing that transurethral incision is the elective treatment. Therefore, open surgery would only be indicated in cases of failure of the procedure due to existence of symptomatic pseudodiverticulum, or in patients presenting renoureteral ectasy associated.
Navalón Verdejo
P
P
Servicio de Urología, Hospital Casa de Salud, Valencia. pedronavalon@yahoo.com
Pallas Costa
Y
Y
Cánovas Ivorra
J A
JA
Ordoño Domínguez
F
F
de la Torre Abril
L
L
Fabuel Deltoro
M
M
D000368:Aged; D000369:Aged, 80 and over; D003560:Cysts / Q000175:diagnosis* / Q000628:therapy*; D005832:Genital Diseases, Male / Q000175:diagnosis* / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012669:Seminal Vesicles