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Laparoscopic Treatment of Seminal Vesicle Cyst

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Minimally Invasive Techniques in Pediatric Urology

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Abstract

Seminal vesicle cysts (SVC) are rare and due to a misdevelopment of mesonephric duct explaining associations with renal malformations. More than a cyst, SVC corresponds to a stenosis of ejaculatory duct leading to a dilatation. Most of them are asymptomatic and a small number is manifested by urinary symptoms, pain, or epididymitis. The SVC must be removed, and a laparoscopic approach will then provide numerous advantages: easy approach of the posterior bladder wall and pelvic organs, good view of surrounding structures, and dissection close to the seminal vesicle. Three ports are usually placed and transparietal suspension allows a better exposure behind and below the bladder. The separation between SVC and bladder is thin and may lead to a bladder tear. In the lower part of SVC, a ligation is performed at the level of narrow ejaculatory duct. Drainage can be left but is not mandatory. The postoperative course is usually uneventful allowing a discharge at day 2 or 3. Complications are rare: unnoticed bladder injury, urinoma, and urinary tract infections. Infertility is a long-term concern.

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Authors and Affiliations

  1. Pediatric Surgery Department, Hôpital Nord, CHU de Saint-Etienne, Saint-Etienne, France

    François Varlet, Aurélien Scalabre, S. Vermersch & N. Diraduryan

Authors
  1. François Varlet
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  2. Aurélien Scalabre
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  3. S. Vermersch
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  4. N. Diraduryan
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Corresponding author

Correspondence to François Varlet .

Editor information

Editors and Affiliations

  1. Pediatric Surgery Department, University of Naples Federico II, Napoli, Italy

    Ciro Esposito

  2. Paediatric Urology Department, Leeds Teaching Hospitals NHS Trust, Leeds, UK

    Ramnath Subramaniam

  3. Pediatric Surgery Department, University of Saint-Etienne, Saint-Etienne, France

    François Varlet

  4. Department of Clinical and Experimental Medicine, University of Florence, Firenze, Italy

    Lorenzo Masieri

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Laparoscopic resection of seminal vescicle cyst (MP4 258097 kb)

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Varlet, F., Scalabre, A., Vermersch, S., Diraduryan, N. (2022). Laparoscopic Treatment of Seminal Vesicle Cyst. In: Esposito, C., Subramaniam, R., Varlet, F., Masieri, L. (eds) Minimally Invasive Techniques in Pediatric Urology. Springer, Cham. https://doi.org/10.1007/978-3-030-99280-4_54

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  • DOI: https://doi.org/10.1007/978-3-030-99280-4_54

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-99279-8

  • Online ISBN: 978-3-030-99280-4

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