The seminal vesicles (also called vesicular glands or seminal glands) are a pair of convoluted tubular accessory glands that lie behind the urinary bladder of male mammals. They secrete fluid that largely composes the semen.

The vesicles are in size, in diameter, and are located between the bladder and the rectum. They have multiple outpouchings, which contain secretory glands, which join together with the vasa deferentia at the ejaculatory ducts. They receive blood from the vesiculodeferential artery, and drain into the vesiculodeferential veins. The glands are lined with column-shaped and cuboidal cells. The vesicles are present in many groups of mammals, but not marsupials, monotremes or carnivores..

Inflammation of the seminal vesicles is called seminal vesiculitis and most often is due to bacterial infection as a result of a sexually transmitted infection or following a surgical procedure. Seminal vesiculitis can cause pain in the lower abdomen, scrotum, penis or peritoneum, painful ejaculation, and blood in the semen. It is usually treated with antibiotics, although may require surgical drainage in complicated cases. Other conditions may affect the vesicles, including congenital abnormalities such as failure or incomplete formation, and, uncommonly, tumours.

The seminal vesicles have been described as early as the second century AD by Galen, although the vesicles only received their name much later, as they were initially described using the term from which the word prostate is derived.

Structure

The human seminal vesicles are a pair of glands in males that are positioned below the urinary bladder and at the end of the vasa deferentia, where they enter the prostate. Each vesicle is a coiled and folded tube, with occasional outpouchings termed diverticula in its wall. The lower part of the tube ends as a straight tube called the excretory duct, which joins with the vas deferens of that side of the body to form an ejaculatory duct. The ejaculatory ducts pass through the prostate gland before opening separately into the verumontanum of the prostatic urethra.

<!-- Blood, nerve and lymphatic supply -->The vesicles receive blood supply from the vesiculodeferential artery, and also from the inferior vesical artery. The vesiculodeferential artery arises from the umbilical arteries, which branch directly from the internal iliac arteries. Two ducts form next to each other that connect to the urogenital sinus; the mesonephric duct and the paramesonephric duct, which go on to form the reproductive tracts of the male and female respectively. The seminal vesicles contain 5α-reductase, which metabolizes testosterone into its much more potent metabolite, dihydrotestosterone (DHT).]]

The inner lining of the seminal vesicles (the epithelium) is made of a lining of interspersed column-shaped and cube-shaped cells. When viewed under a microscope, the cells are seen to have large bubbles in their interior. This is because their interior, called cytoplasm, contains lipid droplets involved in secretion during ejaculation. The tissue of the seminal vesicles is full of glands, spaced irregularly. Fluid is secreted from the ejaculatory ducts of the vesicles into the vas deferens and ejaculated through the urethra during the male sexual response. The fluid consists of nutrients including fructose and citric acid, prostaglandins, and fibrinogen.

<!-- Structural and anatomical problems -->Congenital anomalies associated with the seminal vesicles include failure to develop, either completely (agenesis) or partially (hypoplasia), and cysts. Symptoms can include vague back or lower abdominal pain; pain of the penis, scrotum or peritoneum; painful ejaculation; blood in the semen on ejaculation; irritative and obstructive voiding symptoms; and impotence. Infection may be due to sexually transmitted infections, as a complication of a procedure such as prostate biopsy. Intervention in the form of drainage through the skin or surgery may also be required if the infection becomes an abscess. These diseases are investigated, diagnosed and treated according to the underlying disease.

Investigations

Symptoms due to diseases of the seminal vesicles may be vague and not able to be specifically attributable to the vesicles themselves; additionally, some conditions such as tumours or cysts may not cause any symptoms at all. and many groups of mammals, monotremes, and carnivorans. The function is similar in all mammals they are present in, which is to secrete a fluid as part of semen that is ejaculated during the sexual response.

History

The action of the seminal vesicles has been described as early the second century AD by Galen, as "glandular bodies" that secrete substances alongside semen during reproduction. By the time of Herophilus the presence of the glands and associated ducts had been described.