Is a Cystic Lesion Located at the
Midline of the Prostate a Müllerian
Duct Cyst?

Yasumoto, R; Kawano, Manabu; Tsujino, Takashi; Shindow, Kiyo; Nishisaka, Nobuyasu; Kishimoto, Toshifumi

doi:10.1159/000474448

Cited by 15 publications

(3 citation statements)

References 2 publications

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“…It should be noticed that not all cystic lesions located at the midline of the prostate are müllerian duct cysts or prostatic utricle cysts. The possibility of other cystic lesions should also be considered [12], such as ejaculatory duct cysts, prostatic retention cysts and so on, which are rare in clinical practice. Even so, sometimes conventional terminology indicating each midline prostatic cyst is not adequate to differentiate their subtle variations.…”

Section: Discussionmentioning

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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Section: Discussionmentioning

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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“…Tanto los quistes de los conductos müllerianos y el divertículo del conducto eyaculatorio se localizan la línea media prostática, sin embargo, mientras que en el quiste del conducto mülleriano no hay espermatozoides, su presencia es diagnóstica de quiste del conducto eyaculatorio [1][2][3][4][5][6] .…”

Section: Discussionunclassified

Quiste de retención prostético: una causa rara de retención aguda de orina

J¹,

Sanjuánbenito²,

C³

et al. 2008

Rev Chil Cir

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RESUMENLas lesiones quísticas localizadas en la línea media de la glándula prostática presentan una incidencia difícil de estimar, debido a que la mayoría son asintomáticas y suelen ser un hallazgo casual durante el estudio de otra patología urológica 1 . Presentamos el caso de un varón de 85 años que en el transcurso de un episodio de retención aguda de orina es diagnosticado de un quiste de retención prostático, y realizamos una revisión de la literatura.PALABRAS CLAVE: Quiste prostático, quiste de vesículas seminales, quiste del conducto mülleriano, divertículo del conducto eyaculatorio. ABSTRACTThe incidence of medial prostatic cysts is unknown, since most of them are asymptomatic, and usually appear as an incidental finding during the study of other urological disease. We report an 85 years old man with a urinary obstruction. Rectal palpation disclosed a mass that was adjacent to the prostate. Magnetic resonance showed a cystic lesion of the right seminal vesicle. The cyst was drained, obtaining 250 ml of fluid and urinary obstruction subsided. After three months of follow up, the patient remains asymptomatic.KEY WORDS: Prostatic cyst, seminal vesicle cyst, müllerian duct cyst, diverticulum of the ejaculatory duct.

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“…There have been case reports of müllerian duct cysts and prostatic utricle cysts containing carcinoma [4,5]. Not all cystic lesions located at the midline of the prostate are müllerian duct cysts or prostatic utricle cysts, and the possibility of other cystic lesions should also be considered [6].…”

Section: Intraprostatic Cystic Lesions Müllerian Duct Cysts and Prostmentioning

confidence: 99%

Endorectal MRI of Prostatic and Periprostatic Cystic Lesions and Their Mimics

Curran

Akın

Ağıldere

et al. 2007

American Journal of Roentgenology

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Is a Cystic Lesion Located at the Midline of the Prostate a Müllerian Duct Cyst?

Cited by 15 publications

References 2 publications

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

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

Quiste de retención prostético: una causa rara de retención aguda de orina

Endorectal MRI of Prostatic and Periprostatic Cystic Lesions and Their Mimics

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