Abstract
This study reports a sporadic case of a 44-year-old male with congenital hypospadias complicated by a seminal vesicle cyst and accessory urethra. The patient presented with recurrent dysuria, and after undergoing laparoscopic seminal vesiculectomy combined with targeted anti-infective therapy, his symptoms were significantly relieved with favorable recovery. This case suggests that comprehensive imaging evaluation, individualized surgical planning, and long-term standardized follow-up are of great value in the diagnosis and treatment of such complex urinary system malformations.