ASSYMMETRICAL DILATATION OF SEMINALVESICLE3)

History:Age 28. >10 yrs history of periods with intense perineal and left-sidedpost-ejaculatory pain radiating into the groin. These periods range form acouple of days to weeks, usually subsiding spontaneously, reappearing withirregular intervals from weeks to several months. No UTIs, never leucocystes orbacterial growth in the EPS.
Drach-classification: Prostatodynia
TRUS:
1. Longitudinal scan ofgrossly dilated left seminal vesicle with wide intravesicular spaces.
2.Transverse scan: assymmetric dilatation of left seminal vesicle, right one ofnormal size.
3. Longitudinal view through prostate: calcification presumablyobstructing left ejaculatory duct.
Comments:
Probable mechanism: obstruction of theejaculatory duct, intermittently more severe. No doubt that this patient wouldgain from removing the calcification. The patient has, so far, declined moreinvasive diagnostics and surgery.

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