Vesiculoscopy for diagnosing and managing seminal vesicle disorders
https://doi.org/10.21886/2308-6424-2026-14-2-147-158
Abstract
Seminal vesicles play an important role within the male reproductive system, yet their pathology remains an under‑recognised cause of chronic pelvic pain syndrome (CPPS), frequently misattributed to chronic prostatitis. Vesiculoscopy is a minimally invasive endoscopic technique that permits direct visualisation and targeted treatment of disorders affecting the seminal vesicles and ejaculatory ducts. The lecture outlines the anatomy and physiology of the seminal vesicles, the principal indications for vesiculoscopy (including persistent haematospermia, ejaculatory duct obstruction, chronic seminal vesiculitis and seminal vesicle calculi), and provides a step‑by‑step description of the operative technique. Emphasis is placed on the diagnosis of CPPS related to seminal vesicle pathology, encompassing both inflammatory and obstructive changes. Two clinical cases are presented to illustrate the effectiveness of vesiculoscopy in patients with refractory pain and seminal vesicle calculi. This modality offers high diagnostic yield in the absence of reliable non‑invasive imaging alternatives but necessitates careful patient selection and meticulous adherence to technical details to minimise complications. Vesiculoscopy thereby broadens the therapeutic armamentarium of urologists in the management of complex CPPS, and reproductive disorders associated with seminal vesicle disease.
Keywords
Supporting agencies: This research received no external or industry sponsorship.
About the Authors
N. K. Gadzhiev
Pirogov Clinic of Advanced Medical Technologies — St. Petersburg State University
Russian Federation
Competing Interests:
Russian Federation
Nariman K. Gadzhiev — Dr.Sc.(Med.)
St. Petersburg
Competing Interests:
Nariman K. Gadzhiev, author of this article, are member of the Editorial Board of Urology Herald. The manuscript underwent the journal’s standard external peer‑review process by independent experts. The authors declare no other conflicts of interest
D. S. Gorelov
Pavlov First St. Petersburg State Medical University
Russian Federation
Competing Interests:
Russian Federation
Dmitry S. Gorelov
St. Petersburg
Competing Interests:
Nariman K. Gadzhiev, author of this article, are member of the Editorial Board of Urology Herald. The manuscript underwent the journal’s standard external peer‑review process by independent experts. The authors declare no other conflicts of interest
R. G. Khamedov
Pirogov Clinic of Advanced Medical Technologies — St. Petersburg State University
Russian Federation
Competing Interests:
Russian Federation
Rafi Gyulakhmed oglu Khamedov
St. Petersburg
Competing Interests:
Nariman K. Gadzhiev, author of this article, are member of the Editorial Board of Urology Herald. The manuscript underwent the journal’s standard external peer‑review process by independent experts. The authors declare no other conflicts of interest
I. V. Semenyakin
«MEDSI» Clinical and Diagnostic Centre
Russian Federation
Competing Interests:
Russian Federation
Igor V. Semenyakin — Dr.Sc.(Med)
Moscow
Competing Interests:
Nariman K. Gadzhiev, author of this article, are member of the Editorial Board of Urology Herald. The manuscript underwent the journal’s standard external peer‑review process by independent experts. The authors declare no other conflicts of interest
V. A. Zastavsky
Pirogov Clinic of Advanced Medical Technologies — St. Petersburg State University
Russian Federation
Competing Interests:
Russian Federation
Vladimir A. Zastavsky
St. Petersburg
Competing Interests:
Nariman K. Gadzhiev, author of this article, are member of the Editorial Board of Urology Herald. The manuscript underwent the journal’s standard external peer‑review process by independent experts. The authors declare no other conflicts of interest
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For citations:
Gadzhiev N.K., Gorelov D.S., Khamedov R.G., Semenyakin I.V., Zastavsky V.A. Vesiculoscopy for diagnosing and managing seminal vesicle disorders. Urology Herald. 2026;14(2):147-158. (In Russ.) https://doi.org/10.21886/2308-6424-2026-14-2-147-158
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