title: [Diagnosis and management of cystic dysplasia of the seminal vesicle].
abstract: 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.
authors.affiliation: Servicio de Urología, Hospital Casa de Salud, Valencia. pedronavalon@yahoo.com
authors.forename: P
authors.initials: P
authors.lastname: Navalón Verdejo
authors.forename: Y
authors.initials: Y
authors.lastname: Pallas Costa
authors.forename: J A
authors.initials: JA
authors.lastname: Cánovas Ivorra
authors.forename: F
authors.initials: F
authors.lastname: Ordoño Domínguez
authors.forename: L
authors.initials: L
authors.lastname: de la Torre Abril
authors.forename: M
authors.initials: M
authors.lastname: Fabuel Deltoro
mesh_terms: 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