Abstract
A 29-year-old man with hypospadias and bilateral undescended testicles presented with recurrent attacks of lower urinary tract infections and painful ejaculation. He was diagnosed to have very large bilateral seminal vesicle stones. The pelvis X-ray showed two radio-densities located in the pelvis with symmetrical appearance while Ultrasound showed them as echogenic structures with posterior acoustic shadowing. In magnetic resonance imaging (MRI) of the pelvis they appeared hypointense in both T1-weighted and T2-weighted images while pelvic computed tomography scan (CT scan) showed bilateral huge stones in the seminal vesicles. The stones were extracted by open surgery through the bladder after transurethral excision of the ejaculatory ducts. Here, we report the first case of bilateral, large, heart-shaped, calcium oxalate monohydrate of seminal vesicle caliculi with brief literature review.
References
King BF, Hattery RR, Lieber MM, Williamson B Jr, Hartman GW, Berquist TH (1989) Seminal vesicle imaging. Radiographics 4(4):653–676
Özgök Y, Kilciler M, Aydur E, Saglam M, Irkilata HC, Erduran D (2005) Endoscopic seminal vesicle stone removal. Urology 65(3):591–658
Schwartz BF (2003) Stones of the urethra, prostate, seminal vesicle, bladder, and encrusted foreign bodies. In: Stoller ML, Meng MV (eds) Current clinical urology, urinary stone disease: a practical guide to medical and surgical management. Humana Press Inc., Ottawa, NJ, pp 661–681
Singh I, Ansari MS (2006) Idiopathic bilateral giant seminal vesicle calculi and calcification of the male ejaculatory system: current review of diagnosis and management. Indian J Surg 68:38–40
Yun S, Kim T, Kwon W, Kim Y, Lee S, Kim W (2008) A large stone in the dilated left seminal vesicle: laparoscopic removal and partial seminal vesiculectomy. Korean J Urol 49(7):656–658
Yang SC, Rha KH, Byon SK, Kim JH (2002) Transutricular seminal vesiculoscopy. J Endourol 16:343–345
Kuligowska E, Fenlon HM (1998) Transrectal US in male infertility: spectrum of findings and role in patient care. Radiology 207:173–181
Cho IR, Lee MS, Rha KH, Hong SJ, Park SS, Kim MJ (1997) Magnetic resonance imaging in hemospermia. J Urol 157:258–262
Kilciler M, Sağlam M, Özgök Y, Somuncu I, Erduran D, Harmankaya Ç (2002) Giant seminal vesicle stones. Report of two cases. Urol Int 69:250–251
Cuda SP, Brand TC, Thibault GP, Stack RS (2006) Case report: endoscopic laser lithotripsy of seminal-vesicle stones. J Endourol 20(11):916–918
Namjoshi SP (2002) Large bilateral star-shaped calculi in the seminal vesicles. J Postgrad Med 48(2):122–123
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Hadidi, M., Hadidy, A., Alrabadi, A.F. et al. Bilateral very large calcium oxalate stones in the seminal vesicles: case report and literature review. Urol Res 39, 509–513 (2011). https://doi.org/10.1007/s00240-011-0371-0
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00240-011-0371-0