■ Primary pathology of the seminal vesicle is quite rare.

■ Owing to their embryologic similarities, congenital seminal vesicle abnormalities often coexist with ureteral or renal anomalies. The surgeon performing excision of a congenital seminal vesicle cyst should also be prepared to remove ureteral and renal remnants when necessary.

■ The neurovascular bundles responsible for erectile function travel lateral to the seminal vesicles (39). Sharp dissection rather than coagulation should be used in that area.

■ To date there have been no reports of laparoscopic excision of the seminal vesicle for a primary malignancy.

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