“…3 risk of infection. 2,5,7 Transurethral resection may also be associated with retrograde ejaculation and external sphincter injury. Open surgical approaches to the seminal vesicles include the retrovesical, transperineal, transvesical, paravesical, and transcoccygeal routes.…”
Section: Introduction T He Differential Diagnosis Of a Retrovesical Cmentioning
Laparoscopic excision of retrovesical cystic disease is an effective surgical procedure, associated with minimal postoperative morbidity, short hospitalization, and a rapid recovery for the patient.
“…3 risk of infection. 2,5,7 Transurethral resection may also be associated with retrograde ejaculation and external sphincter injury. Open surgical approaches to the seminal vesicles include the retrovesical, transperineal, transvesical, paravesical, and transcoccygeal routes.…”
Section: Introduction T He Differential Diagnosis Of a Retrovesical Cmentioning
Laparoscopic excision of retrovesical cystic disease is an effective surgical procedure, associated with minimal postoperative morbidity, short hospitalization, and a rapid recovery for the patient.
“…[3,4,9,11,17,18,24,26,29,34,36,41]. Der Begriff der ektopen Ureterozele [17] [15,18,37]. Einige Autoren berichten jedoch über anhaltende Besserung, längerfristige Beobachtungen fehlen jedoch [3,13,21].…”
Section: Begleitanomalienunclassified
“…Der dabei entstehende Reflux in die Zyste disponiert jedoch zu Infekten der Harn-und Samenwege und kann so zu einer Persistenz der Symptome füh-ren [8,36,41]. Die meisten der beschriebenen Fälle wurden einer offenen Operation mit verschiedenen Zugangswegen zugeführt [3,24,30,37,39,41]. Kürz-lich wurde als weitere Therapie über die laparoskopische Entfernung einer Samenblasenzyste berichtet.…”
Section: Begleitanomalienunclassified
“…Verschiedene Arbeiten zeigen die Bedeutung von AUG, US, CT, MRT und der Deferentovesikulographie für die Diagnose der zystischen Degeneration der Samenblasen [15,17,19,22,27,31,32,37]. …”
Section: Wertigkeit Der Bildgebenden Verfahrenunclassified
“…Es handelt sich meist um beidseitige Retentionszysten aufgrund postentzündlicher Obstruktionen des Ductus ejaculatorius nach Harnwegsinfekten oder Prostatitiden. Sie sollen mit einer Erweiterung der Ampulle des Ductus deferens einhergehen [13,33,37]. Der Zysteninhalt stellt sich sowohl in der CT als auch in der MRT wasseräquivalent dar.…”
Congenital seminal vesicle cysts associated with ipsilateral renal agenesis or dysplasia are rare malformations. Even though they are more often diagnosed today due to the introduction of advanced, sectional imaging techniques as CT and MRI, no reliable data about the prevalence of this malformation are available. This study reports seven consecutive cases, with long-term follow-up in five cases (26-119 months, mean 52 months). All patients underwent sonography, excretory urography, CT and MRI. Only two of seven patients presented nonspecific symptoms of the lower urinary tract; five were asymptomatic. In all cases sonography revealed the cystic character of the retrovesical enlargement. The anatomy of the lower pelvis was most accurately shown on MRI, which depicted the ectopic insertion of the ureter into the seminal vesicle in five cases. Cysts demonstrated high signal intensities in T1- and T2-weighted spin-echo images. In five cases the CT density was over 40 HU. Whereas one patient (15 years) presented significant enlargement of the cysts 10 years after primary diagnosis with compression of the urinary bladder, four patients showed no changes of their malformation in the follow-up examinations. The present data therefore support the concept of treating only symptomatic patients.
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