Successful Transurethral Drainage of Bilateral Seminal Vesicle Abscesses

Abstract

We report the successful management of bilateral seminal vesicle abscesses with transurethral unroofing and drainage of the abscess cavities. The diagnosis was confirmed by computerized tomography. Transurethral drainage became necessary after percutaneous drainage had proved to be inadequate.

Seminal Vesicle Abscess: Two Case Reports and a Review of the Literature

“…A specific age at presenta tion has not been observed, patient age ranging from 30 to 77 years. The anatomic location of seminal vesicles close to peritoneum, rectum, prostate, urinary bladder and ure thra determines an atypical symptomatology including fever, dysuria or other micturitional symptoms and testic ular, inguinal or perineal pain [ 1,3,5,6], Both our 2 cases presented clinical symptoms of testicular pain and swell ing and fever that persisted despite antibiotic treatment.…”

“…With regard to the etiologic agent of the earlier cases, 6 had positive cultures for E. coli and two for Staphylococ cus aureus [1,3,5,6,[8][9][10][11]. Surgical drainage was an effective treatment in 2 cases, percutaneous drainage in 2 and an endoscopic approach in 3.…”

“…Seminal vesicle abscesses present an extremely infre quent pathology in the daily practice [1], Therefore, many of them may remain undiagnosed because of their unspe cific clinical manifestations [2], Even though their patho genesis is not well known, they are usually preceded by acute bacterial prostatitis or urinary tract infection. A clinical diagnosis based on their unspecific manifestations is difficult and both cases reported were identified by computerized tomography.…”

Seminal vesicle cysts and associated anomalies

“…The former are extremely rare while the latter are relatively common [48][49][50]. Hydatid cysts [51,52] and abscesses of the seminal vesicles have also been reported [53][54][55][56][57][58][59][60][61].…”

Bilateral Seminal Vesicle Abscesses

“…Specific MRI findings will give additional information in clarifying whether or not the process is benign or malignant [7,10]. Treatment requires appropriate intravenous antibiotics and prompt, either transperineal, transurethral, transrectal or surgical drainage [1,[11][12][13]. Transperineal drainage in this case has proved quite successful.…”