Korean J Urol.  2008 Jul;49(7):656-658.

A Large Stone in the Dilated Left Seminal Vesicle: Laparoscopic Removal and Partial Seminal Vesiculectomy

• Yun SJ
• Kim TH
• Kwon WA
• Kim YJ
• Lee SC
• Kim WJ

Abstract

Stones in the seminal vesicle are extremely rare. We report a case with a large stone in a dilated seminal vesicle. A 20-year-old man presented with a large calcified density in the pelvic cavity on plain films. A 6.0 cm cone shaped stone was noted in the dilated left seminal vesicle diagnosed by radiological examination. We treated the patient by transperitoneal laparoscopic stone removal and partial seminal vesiculectomy. The composition of stone was carbonate apatite. This approach to the treatment of such pathological conditions of the seminal vesicles provides an additional option.

Keyword

Seminal vesicles; Stone; Seminal vesiculectomy

MeSH Terms

Apatites
Carbon
Humans
Seminal Vesicles
Young Adult
Apatites
Carbon

Figure

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  Fig. 1. Plain film shows a large calcified density in the pelvic cavity.

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  Fig. 2. CT scan demonstrates a large stone in a dilated left seminal vesicle.

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  Fig. 3. Retrograde urethrogram reveals reflux into the left seminal vesicle with the stone.

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  Fig. 4. Laparoscopic view of the cul-de-sec and associated organs.

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  Fig. 5. Removed stone and the dilated left seminal vesicle wall.

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  Fig. 6. Postoperative vasogram shows the decreased size of the left seminal vesicle without the stones or leak.

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