[Transurethral unroofing in seminal vesicle cyst].
OBJECTIVE
To investigate the effects of transurethral unroofing in treatment of seminal vesicle cyst.


METHODS
Seven patients seminal vesicle cyst 2.1 cm x 3.0 cm x 3.3 cm - 5.5 cm x 6.3 cm x 10.2 cm in size, aged 36 (21 - 65), with the symptoms of hematospermia (4 cases), hematuria (3 cases), epididymitis (2 cases), dysuria (1 case), bladder irritation symptoms (1 case), bloody mucus of urethral orifice after miction (1 case), perineal discomfort (2 case), and infertility (3 cases), underwent transurethral unroofing of seminal vesicle cyst.


RESULTS
Operation was performed successful on all 7 patients. The mean operative time was 20 min, the mean estimated operative blood loss was 5 ml, and the mean hospital stay was 3 d. Follow-up was conduced for 28.3 months (8 months-10 years). All patients were free of symptoms after surgery, without recurrence and complications that needed further therapy. Two of the 3 patients with infertility succeeded in fertilization 1 year after surgery, and 1 patient with retrograde ejaculation underwent intracytoplasmic sperm injection and succeeded in fertilization 6 months after operation.


CONCLUSIONS
Transurethral unroofing provides an effective approach to the seminal vesicle cyst with minimal invasion, short hospitalization, and rapid recovery.
Wang
Yan-Bin
YB
Department of Urology, First Affiliated Hospital of Wenzhou Medical College, Wenzhou 325000, China.
Xu
Zhi-Hui
ZH
Weng
Zhi-Liang
ZL
Xiao
Yan
Y
Cai
Jian
J
Li
Cheng-di
CD
Lin
Li-Zhang
LZ
D000328:Adult; D000368:Aged; D003560:Cysts / Q000601:surgery*; D019299:Decompression, Surgical; D005500:Follow-Up Studies; D005832:Genital Diseases, Male / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D012669:Seminal Vesicles / Q000601:surgery*; D014521:Urethra / Q000601:surgery*