Conservative Management of a Congenital Seminal Vesicle Cyst Associated with Ipsilateral Renal Agenesis Revealed by Cystitis : One Case Report

Abstract EN

Seminal vesicle cyst is an extremely rare disease.

Its association with ipsilateral renal agenesis is even more exceptional.

We present herein one case of a 16-year-old male who presented with a four-month history of lower urinary tract symptoms (LUTSs) and micturition pain.

The digital rectal examination revealed a small mass arising from the prostate.

The urine culture showed that E.

coli is sensitive to all antibiotics tested.

Transrectal ultrasound (TRUS) revealed a cystic mass in the outer prostate.

Seminal vesicle cyst and left renal agenesis were confirmed by magnetic resonance imaging (MRI).

Maximum flow (Qmax) at uroflow was greater than 15 mL/sec.

We therefore decided to manage this disease conservatively with alpha blockers and antibiotics.

After 6-month' followup the patient did not report any complain and the uroflow test was similar to a normal urination.

From one case report and literature review, the authors suggest a diagnostic and therapeutic strategy for the management of this rare condition.