SEMINAL MEGAVESICLES WITH ADULT POLYCYSTIC KIDNEY-DISEASE

Adult polycystic kidney disease has been found in association with pat hological dilatation of the seminal vesicles in six patients. These me n appeared normal on clinical examination, but had azoospermia or seve re oligozoospermia, They were investigated by scrotal exploration with vasography, renal and transrectal ultrasound scans (TRUS), and percut aneous puncture of the seminal vesicles in one case, before and after resection of the ejaculatory ducts. This revealed that the gross dilat ation of the seminal vesicles was not caused by obstruction, but appea red to be due to atonicity (megavesicles). These ultrasonic appearance s, when described previously, were incorrectly thought to be due to se minal vesicle cysts.