Seminal vesicle stones: A diagnosis challenge and their therapeutic advances, a propos of a case
Purpose Seminal vesicle stones are a rare entity, different associations with anatomic variations like obstruction in ejaculatory ducts have relation with stone formation, these anatomic variations contribute to the aggregation of substances present in seminal liquid. Our purpose is to show a new di...
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Thieme Medical Publishers, Inc.
2018
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| Acceso en línea: | https://repository.urosario.edu.co/handle/10336/23434 https://doi.org/10.1055/s-0038-1645845 |
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ir-10336-234342022-05-02T12:37:19Z Seminal vesicle stones: A diagnosis challenge and their therapeutic advances, a propos of a case Litiasis de Vesículas Seminales: un reto Diagnóstico y sus Avances Terapéuticos, A Propósito de un Caso Mateus Acuña, Leonel Salgado Tovar, Javier Fructose Prostaglandin Adult Article Case report Clinical article Diagnostic approach route Gold standard Human Lofgren syndrome Male Male infertility Painful ejaculation Perineal pain Recurrent infection Seminal vesicle disease Seminal vesicle stone Symptomatology Transrectal ultrasonography Urinary tract disease Urinary tract obstruction Urinary tract pain Microenvironment Perineal pain Seminal vesicle stones Stone formation Trans rectal ultrasound Transurethral seminal vesiculoscopy with laser Urinary tract obstruction Purpose Seminal vesicle stones are a rare entity, different associations with anatomic variations like obstruction in ejaculatory ducts have relation with stone formation, these anatomic variations contribute to the aggregation of substances present in seminal liquid. Our purpose is to show a new diagnostic approach and treatment. Materials and Methods The case of a 42-years-old man with a diagnosis of Lofgren syndrome, presented long standing non-specific urinary tract symptoms and perineal pain. Bilateral calcifications in seminal vesicle were observed using urotomography. With these uncommon findings and a symptomatic patient, a review of literature was performed for approach the treatment. Results Seminal vesicle stone does not have specific symptomatology, and can be presented with perineal pain, infertility, painful ejaculation, irritative urinary symptoms. Different factors contribute to stone formation, the main factors are urinary tract obstruction, substances present in seminal liquid (fructose, prostaglandin), urinary reflux and recurrent infections. The gold standard for diagnosis is transrectal ultrasound. Treatments have been changing during the years, the election treatment at the moment is transurethral seminal vesiculoscopy with laser, supported by different case reports in the literature. Conclusions Seminal vesicle stones are rare entities, this pathology should be suspected with perineal pain, painful ejaculation and infertility. Many treatment techniques have been developed, however no standard procedure has been established to manage this entity yet, for this reason the diagnosis is a challenge to the urologist and the treatment depends on experience and equipment available. Copyright © 2018, Sociedad Colombiana de Urología. 2018 2020-05-26T00:01:59Z info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion 0120789X https://repository.urosario.edu.co/handle/10336/23434 https://doi.org/10.1055/s-0038-1645845 eng info:eu-repo/semantics/openAccess application/pdf Thieme Medical Publishers, Inc. instname:Universidad del Rosario |
| institution |
EdocUR - Universidad del Rosario |
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DSpace |
| language |
Inglés (English) |
| topic |
Fructose Prostaglandin Adult Article Case report Clinical article Diagnostic approach route Gold standard Human Lofgren syndrome Male Male infertility Painful ejaculation Perineal pain Recurrent infection Seminal vesicle disease Seminal vesicle stone Symptomatology Transrectal ultrasonography Urinary tract disease Urinary tract obstruction Urinary tract pain Microenvironment Perineal pain Seminal vesicle stones Stone formation Trans rectal ultrasound Transurethral seminal vesiculoscopy with laser Urinary tract obstruction |
| spellingShingle |
Fructose Prostaglandin Adult Article Case report Clinical article Diagnostic approach route Gold standard Human Lofgren syndrome Male Male infertility Painful ejaculation Perineal pain Recurrent infection Seminal vesicle disease Seminal vesicle stone Symptomatology Transrectal ultrasonography Urinary tract disease Urinary tract obstruction Urinary tract pain Microenvironment Perineal pain Seminal vesicle stones Stone formation Trans rectal ultrasound Transurethral seminal vesiculoscopy with laser Urinary tract obstruction Mateus Acuña, Leonel Salgado Tovar, Javier Seminal vesicle stones: A diagnosis challenge and their therapeutic advances, a propos of a case |
| description |
Purpose Seminal vesicle stones are a rare entity, different associations with anatomic variations like obstruction in ejaculatory ducts have relation with stone formation, these anatomic variations contribute to the aggregation of substances present in seminal liquid. Our purpose is to show a new diagnostic approach and treatment. Materials and Methods The case of a 42-years-old man with a diagnosis of Lofgren syndrome, presented long standing non-specific urinary tract symptoms and perineal pain. Bilateral calcifications in seminal vesicle were observed using urotomography. With these uncommon findings and a symptomatic patient, a review of literature was performed for approach the treatment. Results Seminal vesicle stone does not have specific symptomatology, and can be presented with perineal pain, infertility, painful ejaculation, irritative urinary symptoms. Different factors contribute to stone formation, the main factors are urinary tract obstruction, substances present in seminal liquid (fructose, prostaglandin), urinary reflux and recurrent infections. The gold standard for diagnosis is transrectal ultrasound. Treatments have been changing during the years, the election treatment at the moment is transurethral seminal vesiculoscopy with laser, supported by different case reports in the literature. Conclusions Seminal vesicle stones are rare entities, this pathology should be suspected with perineal pain, painful ejaculation and infertility. Many treatment techniques have been developed, however no standard procedure has been established to manage this entity yet, for this reason the diagnosis is a challenge to the urologist and the treatment depends on experience and equipment available. Copyright © 2018, Sociedad Colombiana de Urología. |
| format |
Artículo (Article) |
| author |
Mateus Acuña, Leonel Salgado Tovar, Javier |
| author_facet |
Mateus Acuña, Leonel Salgado Tovar, Javier |
| author_sort |
Mateus Acuña, Leonel |
| title |
Seminal vesicle stones: A diagnosis challenge and their therapeutic advances, a propos of a case |
| title_short |
Seminal vesicle stones: A diagnosis challenge and their therapeutic advances, a propos of a case |
| title_full |
Seminal vesicle stones: A diagnosis challenge and their therapeutic advances, a propos of a case |
| title_fullStr |
Seminal vesicle stones: A diagnosis challenge and their therapeutic advances, a propos of a case |
| title_full_unstemmed |
Seminal vesicle stones: A diagnosis challenge and their therapeutic advances, a propos of a case |
| title_sort |
seminal vesicle stones: a diagnosis challenge and their therapeutic advances, a propos of a case |
| publisher |
Thieme Medical Publishers, Inc. |
| publishDate |
2018 |
| url |
https://repository.urosario.edu.co/handle/10336/23434 https://doi.org/10.1055/s-0038-1645845 |
| _version_ |
1740172721153638400 |
| score |
12,131701 |