# Transurethral Treatment of a Seminal Vesicle Cyst With Lithiasis: Case Report

## TL;DR

A 33-year-old man with a rare seminal vesicle cyst and stones was successfully treated using a minimally invasive transurethral procedure, resolving his symptoms.

## Contribution

This case demonstrates the effectiveness of transurethral seminal vesiculoscopy for treating seminal vesicle cysts with lithiasis.

## Key findings

- Endoscopic drainage via TRU-SVS successfully removed seminal vesicle stones and restored ejaculatory duct patency.
- The patient experienced resolution of pain and improved semen volume after the procedure.
- TRU-SVS is a feasible and effective treatment for SVC with associated stones.

## Abstract

Seminal vesicle cyst (SVC) is a rare condition that can arise from congenital or acquired causes. In this report, we describe the case of a 33-year-old male who was incidentally discovered to have SVC and seminal vesicle stones following complaints of abdominal pain. He presented to the emergency department with these symptoms, which prompted further investigation and diagnosis. Computerized tomography (CT) scan revealed diverticulitis and a fluid attenuation lesion within the right aspect of the prostate gland. He was referred to urology, and further evaluation showed a right SVC of 1.8 × 1.5 × 1.5 cm on magnetic resonance imaging (MRI). The patient underwent endoscopic drainage of the SVC via transurethral seminal vesiculoscopy (TRU-SVS) and holmium laser incision. Three stones ranging from 2 to 4 mm were identified and removed with N-gage basket from the seminal vesicle resulting in successful removal of the stones and restoration of the ejaculatory duct's patency. Follow-up visits showed resolution of pain and an improvement in semen volume. This case report highlights the importance of considering SVC as a differential diagnosis in male patients presenting with such symptoms. TRU-SVS is a feasible and effective treatment option for SVC and associated seminal vesicle stones.