Case Report- Idiopathic bilateral giant seminal vesicle calculi and calcification of the male ejaculatory system: Current review of diagnosis and management

Seminal vesicular lithiasis or seminal vesicular and ejaculatory duct calculi or calcification are rarely encountered with very few cases reported in the literature. We aim to present and review the literature of one such case. A search of the published English literature revealed only 20 published case reports of seminal vesicle calculi, with only three attributed to large bilateral seminal vesicle calculi, making the present case to be the fourth such case. A young man with loin pain and dysuria was investigated and found to have idiopathic giant bilateral seminal vesicular calculi. Stones of the seminal vesicle and ejaculatory duct apparatus are rare and difficult to diagnose. Their presentation may be diverse ranging from a spectrum of loin pain to infertility, hemospermia, painful ejaculation to epididymo-orchitis and urinary tract infection. Transrectal ultrasound and or magnetic resonance imaging should be performed whenever a high index of clinical suspicion persists, in order to arrive at a definite diagnosis. Symptomatic younger patients respond to seminal vesiculectomy whilst in the elderly seminal vesiculotomy may suffice.

Keywords
Ejaculatory duct calculi, seminal vesicle calcification, seminal vesicular calculi, urinary tract stones; urolithiasis