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  • Title: Seminal vesicle abscess after vasectomy: evaluation by transrectal sonography and CT.
    Author: Zagoria RJ, Papanicolaou N, Pfister RC, Stafford SA, Young HH.
    Journal: AJR Am J Roentgenol; 1987 Jul; 149(1):137-8. PubMed ID: 3296708.
    Abstract:
    A case of staphylococcal seminal vesicle abscess after vasectomy was diagnosed by transrectal CT (computed axial tomography) and sonography. The patient was a 43-year old man who was transferred to Massachusetts General Hospital after being treated unsuccessfully at another hospital with gentamicin and carbenicillin for a pelvic infection. He had developed fever, hematuria, dysuria and purulent drainage from the scrotal incision site 3 weeks after vasectomy. A CT scan done at the previous institution showed a mass in the prostatic region. On admission a transrectal linear array sonogram delineated a 5 cm lesion in a enlarged left seminal vesicle. The lesion was drained of purulent material by transurethral endoscopy. Staphylococcus aureus was cultured from the exudate. A follow-up transrectal sonogram 2 months later was normal. Seminal vesicle infections are very rare, except when associated with prostatitis.
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