Seminal Vesicle Urinary Reflux After TURP Mimicking Vesicular Invasion From Prostate Cancer on 18F-Choline PET/CT

Clin Nucl Med. 2021 Jan;46(1):e47-e48. doi: 10.1097/RLU.0000000000003353.

Abstract

Seminal vesicles are paired secretory glands located posterior to the bladder in men that produce seminal fluid to maintain sperm. Seminal vesicle reflux into the prostatic ducts may be associated with prostatitis in older patients or may represent a very rare complication of transurethral prostate resection in patients with prostatic cancer. This condition is frequently accidentally diagnosed on excretory urography and/or retrograde urethrogram. Clinical presentation includes pain, fever, recurrent epididymitis-prostatitis, and post void dribbling.

MeSH terms

  • Aged
  • Choline / analogs & derivatives*
  • Diagnosis, Differential
  • Humans
  • Male
  • Middle Aged
  • Neoplasm Invasiveness
  • Positron Emission Tomography Computed Tomography*
  • Prostatic Neoplasms / diagnostic imaging*
  • Prostatic Neoplasms / pathology
  • Prostatic Neoplasms / surgery*
  • Prostatitis / etiology
  • Prostatitis / physiopathology
  • Seminal Vesicles / physiopathology*
  • Transurethral Resection of Prostate / adverse effects*

Substances

  • fluoromethylcholine
  • Choline