Laparoscopic Management of a Seminal Vesicle Stone: A Case Report with Literature Review

Abstract

Seminal vesicle stones are a rare cause of lower urinary tract symptoms, including hematospermia, ejaculatory pain, and perineal discomfort. This case report describes a 26 year-old male presenting with such symptoms. Transrectal ultrasound and pelvic MRI revealed a 0.7 cm calculus within the enlarged left seminal vesicle. Laparoscopic excision was performed, utilizing a transperitoneal approach with three 5-mm ports. The stone was successfully removed, and the seminal vesicle was closed with a 4-0 absorbable suture. The patient's postoperative recovery was uneventful, and his symptoms resolved completely. This case demonstrates the efficacy and safety of laparoscopic management for seminal vesicle stones, offering a minimally invasive alternative to open surgery. A review of the literature highlights the diagnostic and therapeutic challenges associated with this rare condition.