Large Vesicula Seminalis Cyst: A Very Rare Cause of Constipation and Male Infertility

• Main Authors: Yuksel Ates, Guldem Kilciler, Selahattin Bedir, Murat Aslan, Mete Kilciler, Ahmet Tuzun, Gokhan Yagci, Sait Bagci
• Format: Article
• Language: English
• Published: Wiley 2007-06-01
• Series: Kaohsiung Journal of Medical Sciences
• Subjects: vesicula seminalis; cyst; constipation; infertility
• Online Access: http://www.sciencedirect.com/science/article/pii/S1607551X09704164

We report a 35-year-old male patient with chronic constipation and infertility for 4 years. Spermiogram revealed severe oligospermia. An external mass compressing the rectum was found during rectal examination and flexible rectosigmoidoscopy. Abdominal computed tomography showed a presacral cystic mass which displaced the bladder anteriorly. The cyst was completely removed with open surgery. Histopathologic analysis revealed a cystic lesion covered with squamous epithelium including polymorphonuclear leukocytes, macrophages and sperm cells. After the operation, the patient's symptoms were relieved. We considered that the constipation was caused by external compression by the vesicula seminalis cyst. In cases of constipation with infertility, vesicula seminalis cyst should be kept in mind.