Zusammenfassung
Einleitung: Erworbene oder kongenitale Samenblasenzysten sind ein selten diagnostiziertes, unter Umständen mit anderen Dysgenesien einhergehendes Krankheitsbild. Bei klinischer Symptomatik sollte eine operative Intervention in Betracht gezogen werden.
Kasuistik: Wir beschreiben den Fall eines 65-jährigen Patienten mit einer symptomatischen, solitären Samenblasenzyste und stellen Therapieoptionen vor.
Schlussfolgerung: Bei symptomatischen Samenblasenzysten kann sowohl die laparoskopische Exzision als auch das offene retropubische Vorgehen als Methode der Wahl angesehen werden.
Abstract
Introduction: Acquired or congenital seminal vesicle cysts are rare and probably not diagnosed in the majority of asymptomatic cases. When they do appear to be symptomatic, surgery should be considered.
Case Report: We report the case of a 65-year-old individual presenting with urinary retention secondary to a sizeable seminal vesicle cyst. The therapeutic options are discussed.
Conclusion: Open sugery as well as the laparoscopic approach can be recommended as the treatment of choice for the uncommon condition of symptomatic seminal vesicle cysts.
Schlüsselwörter
Samenblasen - Fehlbildungen - Zysten - Niere - Laparoskopie
Key words
seminal vesicles - abnormalities - cysts - kidney - laparoscopy
Literatur
-
1
Altunrende F, Kim E D, Klein F A, Waters W B.
Seminal vesicle cyst presenting as rectal obstruction.
Urology.
2004 Mar ;
63 (3)
584-585
-
2
Basillote J B, Shanber A M, Woo D, Perer E, Rajpoot D, Clayman R V.
Laparoscopic excision of a seminal vesicle cyst in a child.
J Urol.
2004 Jan ;
171 (1)
369-371
-
3
Bernstein G, Kehren J, Kaplan K, Kang P, McLeod D.
Acquired seminal vesicle cyst causing acute urinary retention and hydronephrosis.
J Urol.
2004 Sep ;
172 (3)
1010-1011
-
4
Carmignani G, Galluci M, Puppo P, De Stefani S, Simonato A, Maffezzini M.
Video laparoscopic excision of a seminal vesicle cyst associated with ipsilateral renal agenesis.
J Urol.
1995 Feb ;
153 (2)
437-439
-
5
Cherullo E E, Anoop M M, Bernstein L H, Einstein D M, Thomas A J, Gill I S.
Laparoscopic management of congenital seminal vesicle cysts associated with ipsilateral renal agenesis.
J Urol.
2002 Mar ;
167 (3)
1263-1267
-
6
Favorito L A, Toledo Filho Jde S, Rubinstein M, Silva E A.
Obstructive urinary symptoms associated with giant cyst of seminal vesicle.
Arch Esp Urol.
2002 May ;
55 (4)
441-443
-
7
Gozen A S, Alagol B.
Endoscopic management of seminal-vesical cyst with right renal agenesis causing acute urinary retention: Case report.
J Endourol.
2006 Nov ;
20 (11)
919-922
-
8
Ishida K, Yuhara K, Kanimoto Y.
A seminal vesicle cyst treated by transurethral resection: a case report .
Hinyokika Kiyo.
2006 Mar ;
52 (3)
219-222
-
9
Lucon A M, Nahas W C, Wroclawski E R, Borrelli M, de Goes P M, de Goes G M.
Congenital cyst of the seminal vesicle.
Eur Urol.
1983;
9 (6)
362-363
-
10
Moudouni S M, Tligui M, Doublet J D, Tchala K, Haab F, Gattegno B, Thibault P.
Laparoscopic excision of seminal vesicle cyst revealed by obstruction urinary symptoms.
Int J Urol.
2006 Mar ;
13 (3)
311-314
-
11
Okada Y, Tanaka H, Takeuchi H, Yoshida O.
Papillary adenocarcinoma in a seminal vesicle cyst associated with ipsilateral renal agenesis: a case report.
J Urol.
1992 Nov ;
148 (5)
1543-1545
-
12
Razi A, Imani B.
Seminal vesicle cyst presenting with lower urinary tract symptoms and huge abdominal mass.
J Urol.
2000 Oct ;
164 (4)
1309-1310
-
13 Sandlow J I, Williams R D. Surgery of the seminal vesicles. In: Campbell's Urology, 7th Edition by Walsh PC, Retik AB, Vaughan ED Jr, Wein AJ Philadelphia: WB Saunders Co vol. 3, chapt. 106 1998: 3299-3315
-
14
Ouden D van den, Blom J H, Bangma C, de Spiegeleer A H.
Diagnosis and management of seminal vesicle cysts associated with ipsilateral renal agenesis: a pooled analysis of 52 cases.
Eur Urol.
1998;
33 (5)
433-440
-
15
Wessels E C, Ohori M, Granthyre J E.
The prevalence of cystic dilation of the ejaculatory ducts detected by transrectlal ultrasound (TUS) in a self referred (screening) group of men.
J Urol.
1992;
147
456
-
16
Zinner A.
Ein Fall von intravesikaler Samenblasenzyste.
Med Wochenschr.
1914;
64
605
Dr. med. Sebastian Schmidt
Urolog. Klinik, St. Josef Krankenhaus Moers GmbH, Asberbop Str. 4, 47441 Moers
eMail: urologe13@yahoo.de
