Patient's question:
Hello: The day before yesterday, I went to the hospital for a check-up on frequent urination. The ultrasound examination revealed a seminal vesicle cyst measuring 1.3 by 1.2 cm. The doctor said there is no specific medication for this condition and asked me to come for regular check-ups, but did not prescribe any medication.Doctor's answer:
Medical Analysis: Hello, seminal vesicle cysts are mostly congenital, with a few caused by acquired factors. Congenital cysts can be accompanied by or without ureteral orifice ectopia, contralateral kidney agenesis or hypoplasia, and seminal vesicle dysplasia. Acquired cysts are mostly caused by inflammation or post-transurethral resection of the prostate leading to obstruction of the ejaculatory duct opening, also known as retention cysts. Congenital cysts are centrally located, with no sperm inside; retention cysts are mostly located laterally and contain sperm.Symptoms: Most are asymptomatic, but may present as difficulty urinating, painful ejaculation, hematospermia, or recurrent epididymitis. Your condition is likely caused by inflammation.
Recommendations: Do not worry too much, as there are still treatment methods available. It is recommended to seek diagnosis and treatment at a male urology specialist hospital. The main treatment methods include:
1. Conservative treatment, suitable for smaller cysts, mild symptoms, and younger patients, with regular follow-up. For those with infection or hematospermia, oral antibiotics and hemostatic agents should be administered. When necessary, 5-alpha-reductase inhibitors can be used: Proscar 5mg once daily, or Eulexin 5mg twice daily, with a course of 1–3 months.
2. Surgical treatment, suitable for larger cysts, complications with stones, significant symptoms, and cases that are difficult to treat. Methods include cyst excision, contralateral seminal vesicle excision, suprapubic "pouch suture" surgery, and transurethral cyst decapitation.
3. Cyst puncture with absolute alcohol or tetracycline solution can reduce the size of the cyst.
4. Transurethral surgery is recommended for seminal vesicle cysts caused by stricture or obstruction of the ejaculatory duct.
Wishing you a speedy recovery!