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Vesiculectomy is a surgical procedure involving the removal of one or both seminal vesicles, which are glands located near the base of the bladder that contribute to the production of seminal fluid, a component of semen. This procedure is often performed to address medical conditions such as seminal vesicle cancer, severe infection, or chronic inflammation that does not respond to other treatments. In some cases, vesiculectomy may be part of a broader surgical approach for prostate cancer or other related disorders. During the procedure, which is typically conducted under general anesthesia, an incision is made in the lower abdomen to access the seminal vesicles. The surgeon carefully excises the affected vesicle(s) while taking care to avoid damaging surrounding structures such as the bladder or rectum. The extent of the surgery depends on the specific condition being treated and may involve partial or complete removal of the vesicles. While vesiculectomy can be effective in managing certain conditions, it carries several potential risks and complications. Common complications include infection, bleeding, and pain at the surgical site. There may also be risks related to urinary and sexual function, such as difficulty with urination, changes in sexual function, or reduced semen volume. Long-term effects may include impacts on fertility and changes in ejaculatory function, as the seminal vesicles play a role in semen production. Post-operative care involves managing pain, monitoring for complications, and providing support for recovery, including follow-up assessments to ensure proper healing and address any ongoing issues related to urinary or sexual health.
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