儲精囊結石導致持續性下泌尿道症狀

黃建翔、陳盈伸、余家政

高雄榮民總醫院 外科部 泌尿外科

Seminal Vesicle Stones Causing Persistent Lower Urinary Tract Symptoms: A Case Report

Chien-Hsiang Huang, Yin-Shen Chen, Chia-Cheng Yu

Kaohsiung Veterans General Hospital, Dept. of Surgery, Kaohsiung, Taiwan

Purpose:

Seminal vesicle stones are a rare cause of persistent lower urinary tract symptoms (LUTS) and can complicate with chronic prostatitis. They are typically treated with open surgery, but transurethral techniques offer a less invasive option. This case report presents a 43-year-old man with seminal vesicle stones and LUTS successfully managed with transurethral intervention.

Materials and Methods:

A 43-year-old man with a history of chronic prostatitis presented with dysuria and a decreased urine stream lasting one month. Imaging revealed multiple calcifications in the prostate gland and right seminal vesicle, with seminal vesicle stones identified as the likely cause of his symptoms. Prostate size measured 18.07 ml with a post-void residual (PVR) of 32 ml. Additionally, CT imaging showed stable calcifications since 2019 and incidental findings of a hepatic cyst and mild biliary dilation.

Results:

Under the diagnosis of seminal vesicle stones contributing to LUTS, the patient underwent transurethral incision of the prostate (TUIP) and transurethral seminal vesiculoscopy. The procedure provided symptom relief, with no postoperative complications. The stable calcifications and absence of acute symptoms, such as fever or abdominal pain, support a chronic, manageable condition requiring follow-up.

Conclusion:

This case illustrates the potential of transurethral intervention as a minimally invasive and effective option for managing seminal vesicle stones associated with LUTS. This approach may offer an alternative to open surgery, allowing for symptom relief and minimal complications in patients with chronic seminal vesicle stones.