Adult Müllerian Duct Or Utricle Cyst: Clinical Significance And Therapeutic Management Of 65 Cases

Coppens, Luc; Bonnet, Pierre; Andrianne, Robert; Leval, Jean de

doi:10.1016/s0022-5347(05)65190-7

Cited by 75 publications

(96 citation statements)

References 27 publications

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“…Prostatic utricular cysts are very rare cysts which result from incomplete regression of the Mullerian ducts or incomplete androgenmediated closure of the urogenital sinus [1,2]. They are lesions that are connected to the middle of the verumontanum via an orifice that leads to the posterior urethra and may be appropriately considered as diverticulum attached to the urethra [3].…”

Section: Discussionmentioning

confidence: 99%

“…Cysts formed by the prostatic utricle are usually asymptomatic and are incidental findings on ultrasound or micturating cystourethrography in young males undergoing evaluation for other urologic concerns [1][2][3]. We present a rare, previously unreported case of utricular cyst presenting with recurrent urethral discharge and urinary tract infection (UTI) from the newborn period in a child with normal external genitalia.…”

Section: Introductionmentioning

confidence: 99%

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Prostatic utricle cyst presenting with recurrent urethral discharge in the newborn: A case report

Lazarus¹,

Maison²,

Howlett³

2017

PUCR

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A B S T R A C TA 6 month old boy with normal external genitalia, presented with purulent urethral discharge from the neonatal period and recurrent urinary tract infections. Radiologic and urethrocystoscopic evaluation showed a midline structure connected to the prostatic urethra and discharging with pus. This structure, considered to be a prostatic utricle cyst was successfully drained endoscopically.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Prostatic utricle cyst presenting with recurrent urethral discharge in the newborn: A case report

Lazarus¹,

Maison²,

Howlett³

2017

PUCR

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“…3,[9][10][11] Aspiration under TRUS guidance is a safe treatment modality, but recurrence of the cyst may occur in many cases. 3,9 On the other hand, cyst excision with open surgery may be chosen in for larger cysts.…”

Section: Pimentioning

confidence: 99%

A Rare Case of Intraprostatic Median Cyst Presenting with Lower Urinary Tract Symptoms

Hamidi¹,

Telli²,

Burgu³

et al. 2015

Turkiye Klinikleri J Urology

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ysts of the lower male genitourinary tract divided into two groups: intraprostatic and extraprostatic. Intraprostatic cysts classification may be evaluated in 3 titles: median cysts (prostatic utricle, mullerian duct), paramedian cysts (ejaculatory duct) and lateral cysts (prostatic retention cysts, cystic degeneration of benign prostate hyperplasia, prostatic abscess, cysts associated with tumors).1 In spite of the development in radiological imaging and pathological assessment techniques, the differential diagnosis of median intraprostatic cysts is still not easy.2 In general, symptoms occur in early ages of life.1 Particularly presenting with lower urinary tract symptoms (LUTS) is very rare. 3 CASE REPORTA 34-year-old fertile man with no significant medical and surgical history was admitted to our clinic with obstructive LUTS present for 8 years. His symptoms worsened during the last 12 months and International Prostate Turkiye Klinikleri J Urology 2015;6(1) 23A Rare Case of Intraprostatic Median Cyst Presenting with Lower Urinary Tract Symptoms A AB BS ST TR RA AC CT T Intraprostatic cysts are usually asymptomatic and uncommon. In this kind of cysts, lower urinary tract symptoms are unexpected. Due to similar embryological structure and radiological imaging, the differential diagnosis of intraprostatic cysts is difficult. However, clinical aspects can be useful in differential diagnosis. Herein, we report a case of intraprostatic median cyst with lower urinary tract symptoms in fourth decade of his life. We also discuss the differential diagnosis of median intraprostatic cysts on the based on this case. Ya zış ma Ad re si/Cor res pon den ce:

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“…Various approaches have been described including endoscopic incision or surgical excision by suprapubic, perineal, or midline transvesical approaches [5]. However, the open surgical excisions are technically challenging, usually require a prolonged hospital stay and have increased risks of damage to vital structures [6].…”

Section: Introductionmentioning

confidence: 99%

Midline Prostatic Cysts Presenting with Chronic Prostatitis or Secondary Infertility and Minimally Invasive Treatment: Endoscopic or Laparoscopic Approach?

Zhang¹,

Fan²,

Wang³

et al. 2011

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Backgrounds: Surgical interventions especially minimally invasive treatments are recommended for symptomatic midline prostatic cysts. The endoscopic unroofing of cysts close to urethra is easy and simple, but it has little effect on the large cysts and cysts lying deeply, in contrast with the laparoscopic approach. Therefore, the selection of minimally invasive therapeutic approaches is important. The aim of this study is to describe our experience in the diagnosis and selection of minimally invasive treatment for midline prostatic cyst. Methods: 15 cases of midline prostatic cyst were studied.10 cases presented with prostatitis-like symptoms, 1 with dysuria and acute urinary retention, 3 with secondary infertility and the rest 1 with hemospermia. 6 patients presented with small cysts (≤2 cm × 2 cm) close to urethra and underwent transurethral unroofing. The other 9 patients with large cysts (>2 cm × 2 cm) or cysts lying closely behind the prostate received the laparoscopic excision. Results: The average duration of transurethral unroofing and laparoscopic excision was 39 mins and 118 mins respectively, whereas the average time of hospitalization was 2.7 days and 4.5 days respectively. After a follow-up of 21 months, all cases were treated successfully without complications and recurrence. Their prostatitis-like symptoms disappeared, and the three patients presented with secondary infertility achieved conception within one year after the operation. Conclusions: A midline prostatic cyst can present with chronic prostatitis-like symptoms and secondary infertility. It can be cured by minimally invasive treatments, but these procedures should be carefully selected according to the size and location of the cyst.

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Adult Müllerian Duct Or Utricle Cyst: Clinical Significance And Therapeutic Management Of 65 Cases

Abstract: Since almost 60% of adults diagnosed with a müllerian duct cyst did not experience any cyst related symptoms or ejaculatory-fertility impairment, we recommend that investigation and/or treatment should only be done in symptomatic or infertile patients.

Cited by 75 publications

References 27 publications

Prostatic utricle cyst presenting with recurrent urethral discharge in the newborn: A case report

Prostatic utricle cyst presenting with recurrent urethral discharge in the newborn: A case report

A Rare Case of Intraprostatic Median Cyst Presenting with Lower Urinary Tract Symptoms

Midline Prostatic Cysts Presenting with Chronic Prostatitis or Secondary Infertility and Minimally Invasive Treatment: Endoscopic or Laparoscopic Approach?

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