Primary pathology of the seminal vesicle is quite rare. With current imaging modalities such as computed tomography and magnetic resonance imaging, the seminal vesicles are being visualized more frequently and with better precision. As a result, more men are being diagnosed with abnormalities of the seminal vesicle, such as cysts or stones. Even when recognized, most are incidental findings not requiring treatment.

When confronted with the infrequent man requiring a therapeutic excision of the seminal vesicle(s), the surgical approach can be abdominal (1), perineal (2), retrovesical (3), transvesical (4), transcoccygeal (5), or transurethral (6). However, with the increasing laparoscopic experience and expertise of many urologists, the seminal vesicles can safely and suitably be removed laparoscopically.

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