# Seminal Vesicle Atrophy and Ejaculatory Dysfunction Secondary to Prostatic and Seminal Vesicle Abscesses

## TL;DR

This paper reports a rare case where prostate and seminal vesicle abscesses led to seminal vesicle atrophy and ejaculatory dysfunction.

## Contribution

The study presents a novel clinical case linking abscesses to ejaculatory dysfunction and seminal vesicle atrophy.

## Key findings

- A 56-year-old man developed ejaculatory dysfunction after conservative treatment for abscesses.
- MRI showed severe seminal vesicle atrophy following the infection.
- Treatments like tadalafil and testosterone therapy failed to improve symptoms.

## Abstract

Seminal vesicle (SV) and prostatic abscesses are rare urological infections. However, their effect on sexual function remains unknown. In the present study, we encountered a case of SV atrophy and ejaculatory dysfunction (EjD) after conservative treatment. The patient was a 56-year-old man with fever who complained of pain during urination. He was diagnosed with SV and prostate abscesses and treated conservatively with antibiotics. One month after treatment, an EjD was observed, and magnetic resonance imaging revealed severe atrophy of the SV. Although various treatments for these symptoms, such as tadalafil and testosterone replacement therapy, were administered, the symptoms did not improve. Here, we report a case of EjD associated with SV and prostate abscesses. Factors leading to SV atrophy are unknown; however, complications should be noted.