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Human Reproduction, Vol 13, 1567-1569, Copyright © 1998 by Oxford University Press


ARTICLES

Seminal megavesicles with adult polycystic kidney disease

WF Hendry, D Rickards, JP Pryor and LR Baker
St Bartholomew's Hospital and Institute of Urology, London, UK.

Adult polycystic kidney disease has been found in association with pathological dilatation of the seminal vesicles in six patients. These men appeared normal on clinical examination, but had azoospermia or severe oligozoospermia. They were investigated by scrotal exploration with vasography, renal and transrectal ultrasound scans (TRUS), and percutaneous puncture of the seminal vesicles in one case, before and after resection of the ejaculatory ducts. This revealed that the gross dilatation of the seminal vesicles was not caused by obstruction, but appeared to be due to atonicity (megavesicles). These ultrasonic appearances, when described previously, were incorrectly thought to be due to seminal vesicle cysts.
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R. Torra, J. Sarquella, J. Calabia, J. Marti, E. Ars, P. Fernandez-Llama, and J. Ballarin
Prevalence of Cysts in Seminal Tract and Abnormal Semen Parameters in Patients with Autosomal Dominant Polycystic Kidney Disease
Clin. J. Am. Soc. Nephrol., May 1, 2008; 3(3): 790 - 793.
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