Cystic lesions in the region of the seminal vesicles, ejaculatory duct
s, or prostate are rare and can be a diagnostic and therapeutic challe
nge. Open surgery is often necessary for definitive treatment. Recent
refinements in transrectal ultrasound imaging and endoscopic instrumen
tation have expanded the roles of these modalities in the management o
f retrovesical cysts. We present a case in which a semirigid 6.9F uret
eroscope was used to access and drain a seminal vesicle cyst transuret
hrally, thereby obviating open surgery.