Acquired Bilateral Seminal Vesicle Cysts: A Rare Manifestation of Prostate Cancer

Seminal vesicle cysts are rare clinical entities estimated to occur in 0.005% of the male population. These cysts could be either congenital or acquired, primary or secondary. The majority of these cysts are asymptomatic and discovered incidentally. Larger cysts could present with a wide array of symptoms such as dysuria, acute urinary retention, perineal discomfort, or hematospermia. We hereby present a case of bilateral seminal vesicle cysts arising due to prostate adenocarcinoma. We discuss the presentation of such cysts, their method of diagnosis, and the approach to management.