[Transvesical removal of seminal vesicle mass: a report of 5 cases].
OBJECTIVE
To investigate the transvesical approach to the surgical treatment of seminal vesicle mass.


METHODS
Transvesical removal of seminal vesicle mass was performed for 5 patients aged 45-69 (mean 51) years. The clinical symptoms included those involving the lower urinary tract such as frequent micturition and urgency in 3 cases (1 accompanied with dyschezia), hematospermia in 1, and lower abdominal and perineal malaise in the other. Two masses were in the left side and the other 3 in the right, ranging from 3 to 10 cm (mean 5 cm) in size, detected by transrectal ultrasonography, CT, MRI or digital rectal examination. The mean course of disease was 9 (2-18) months.


RESULTS
All the 5 patients were treated successfully and uneventfully, with a mean operation time of 75 minutes, a mean blood loss of 140 ml and a mean hospital stay of 10 days. Pathological examinations revealed 2 cases of seminal vesicle cyst with infection, 1 cystadenoma, 1 phyllode tumor and 1 prostatic hyperplasia. A 3-72 months follow-up showed that all the patients were free of symptoms and had normal sexual function.


CONCLUSIONS
Transvesical removal of seminal vesicle mass, with small incisal opening, good visual field and easy operation, is an effective surgical procedure for seminal vesicle disease.
Xu
Li-Wei
LW
Department of Urology, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang 310016, China. xlw96@sina.com
Cheng
Sheng
S
Zhang
Zhi-Gen
ZG
Li
Xin-De
XD
D000368:Aged; D005500:Follow-Up Studies; D005832:Genital Diseases, Male / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012669:Seminal Vesicles / Q000601:surgery*; D016896:Treatment Outcome; D001743:Urinary Bladder / Q000601:surgery*