Seminal vesicles

Acute seminal vesiculitis

Acute seminal vesiculitis occurs in association with prostatitis. Prior to the antibiotic treatment of gonorrhoea, gonococcal vesiculitis was common.

Chronic seminal vesiculitis

Chronic seminal vesiculitis usually presents with haematospermia and pain on intercourse. TRUS demonstrates the features of distension, thickening and the presence of turbid fluid. The treatment is the same as for chronic prostatitis.

Tuberculous seminal vesiculitis

The clinical features and treatment have been discussed above.

Diverticulum of the seminal vesicle

Diverticulum of the seminal vesicle occurs occasionally. In such cases, the kidney of that side is absent and the diverticulum represents an abortive ureteric bud. It is a cause of persistent infection.

Cyst of the seminal vesicle

A cyst of the seminal vesicle is uncommon and rarely requires treatment. It may be removed by dissection through an incision similar to that for perineal prostatectomy, if it is large or giving rise to symptoms.