Presentation
Three patients with diverticulum of the ejaculatory ducts, 2 with prostate cysts and 1 patient with seminal vesicle cyst are presented. [ncbi.nlm.nih.gov]
It was found in the present case, however. Language English Title of host publication AMER.J.THER.CLIN.REP. [miami.pure.elsevier.com]
The presenting symptoms and management of our patient is similar to symptomatic seminal vesicle cysts, which is a rare disorder that can be congenital or acquired [15] and often presents with complaints of dysorgasmia and perineal pain [10]. [bjuinternational.com]
Case report A young 31-year-old male was presented to us with hemospermia with a duration of more than 4 years. Consecutive hemospermia was present in each ejaculation with abundant blood clots. [elsevier.es]
Skin
- Erythema
[…] vesicle makes about 70% of the ejaculate. en — Flat velvety lesions not progressing to vesicles ro Şi pentru următorul judecător la Curtea Supremă de Justiţie en Application site reactions including pain, ulcer, irritation, paraesthesia, anaesthesia, erythema [ro.glosbe.com]
Urogenital
- Prostatic Mass
Rajfer J, Eggleston JC, Sanders RC, Walsh PC: Fever and prostatic mass in a young man J Urol 1978;119:555–558. Tanagho EA: Embryologic basis for lower ureteral anomalies: A hypothesis. Urology 1976;7:451–464. [karger.com]
Workup
Colonoscopy
- Polyps
Other urethral lesions leading to hematospermia include cysts, polyps, condylomata, and strictures. Benign urethral polyps can occur following failure of the invagination process of the prostatic glandular epithelium. [esculape.com]
Treatment
Treating blood in semen The treatment your GP or urologist recommends will depend on what they think is the underlying reason for the blood in your semen. [nhs.uk]
Surgical treatment is needed in symptomatic patients. [edoriumjournals.com]
In case of an ectopic ureter, open or laparoscopic nephroureterectomy with removal of seminal vesicles is the most common treatment alternative, since renal function is often absent. [urology-textbook.com]
The patient received also adjuvant chemotherapy and radiation treatment. After 10 years, the follow-up is still negative. [ncbi.nlm.nih.gov]
Prognosis
The current literature suggests that stromal tumor hemorrhage indicates poor prognosis. [dovepress.com]
Treatment and prognosis Depending on the size of the seminal vesicle cyst, surgery may be helpful. Other causes of male pelvic cystic masses can be included as a differential diagnosis. [radiopaedia.org]
The grade and the stage correlate well with each other and with the prognosis. The prognosis of prostatic adenocarcinoma varies widely with tumor stage and grade. [library.med.utah.edu]
Etiology
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. [ncbi.nlm.nih.gov]
The efficacy of seminal vesiculectomy for eliminating our patient’s symptoms further implicates the seminal vesicles as a prime component in the etiology of dysorgasmia. [bjuinternational.com]
Etiology Congenital Congenital cysts occur due to insufficient drainage as a result of atresia of the ejaculatory ducts causing distension of seminal vesicles and further leading to the formation of a cyst. [radiopaedia.org]
Etiological factors include chronic prostatitis as a cause of lateral prostatic cysts and congenital disease as a cause of midline cysts. [elsevier.es]
Open surgery was the final choice since the case was asymptomatic, giant cysts were present and etiological cause could not be completely explained through examination. Operation cystectomy and partial seminal vesiculectomy were made. [edoriumjournals.com]
Epidemiology
Etiology, epidemiology, and natural history of benign prostatic hyperplasia. Urol Clin North Am. 2009;36:403-415. Demura T, Shinohara N, Tanaka M, et al. [library.med.utah.edu]
Pathophysiology
If problematic, the pathophysiology relates to local obstruction of the neck of the bladder. [1] Pathophysiologic variants Blocked duct Blockages of the posttesticular portion of the reproductive tract may occur. [emedicine.medscape.com]
Prevention
Transrectal ultrasound, computed tomography and magnetic resonance imaging together with aspiration of the cyst establish diagnosis and probably prevent unnecessary exploration. [ncbi.nlm.nih.gov]
Care was taken to spare the bladder neck and verumontanum to prevent retrograde ejaculation ( Fig. 2 ). The resection resulted in drainage of a clear fluid. [elsevier.es]
References 1) Walsh PC and Donker PJ: Impotence following radical prostatectomy: insight into etiology and prevention. J Urol 1982; 128: 492. 2) Walsh PC, Lepor H, Eggleston JC. [bjuinternational.com]