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Abstract

Volume 20, Issue 6 (November 2018) 20, 621–625; 10.4103/aja.aja_62_18

Clinical outcomes of transperitoneal laparoscopic unroofing and fenestration under seminal vesiculoscopy for seminal vesicle cysts

Rui-Zhi Xue1, Zheng-Yan Tang1,2, Zhi Chen1, Liang Huang1,2

1 Department of Urology, Xiangya Hospital of Central South University, Changsha 410000, China
2 Provincial Laboratory for Diagnosis and Treatment of Genitourinary System Disease, Changsha 410000, China

Correspondence: Dr. ZY Tang (doczhengyantang@163.com)

Date of Submission 12-Dec-2017 Date of Acceptance 20-Jun-2018 Date of Web Publication 21-Aug-2018

Abstract

Symptomatic seminal vesicle cysts (SVCs), especially those of a large size, can be removed by surgical treatments. Currently, open surgeries for SVC are rarely performed due to their extensive surgical trauma, and minimally invasive surgical therapies for treating seminal vesicle cysts are still in the early stages. In addition, relevant studies are mostly confined to case reports. In this study, we retrospectively reviewed 53 patients who had received transperitoneal laparoscopic unroofing or fenestration under seminal vesiculoscopy for SVC in our institution. Both surgeries decreased the cyst volume to a significant extent; however, according to the remnant lesion size after rechecking images, seminal vesiculoscopic fenestration tended to have a higher recurrence than laparoscopic unroofing. Regarding complications, two individuals in the laparoscopic unroofing group experienced ureteral injury and rectal injury, while patients in the fenestration group only had temporary hemospermia, which indicates that fenestration surgery tends to have less severe complications than laparoscopic unroofing. There was no solid evidence confirming semen improvement after these surgical therapies in our study. Future studies with a prospective design, larger sample size, and longer follow-up period are required to verify and further explore our findings.

Keywords: cyst; fenestration; laparoscopy; seminal vesicle; unroofing; vesiculoscopy

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