Midline Prostatic Cysts in Healthy Men: Incidence and Transabdominal Sonographic Findings

Ishikawa, Masahito; Okabe, Hiroshi; Oya, Takaki; Hirano, Mari; Tanaka, Masanori; Ono, Michio; Kawamura, Kazutaka; Fujimoto, Nozomu; Sakurada, Keisuke

doi:10.2214/ajr.181.6.1811669

Cited by 35 publications

(20 citation statements)

References 6 publications

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“…In this study, midline prostatic cysts were defined as hypoechoic to anechoic cystic lesions located in the midline of the prostate detected by transrectal ultrasound [1]. Computed tomography revealed a watery density zone.…”

Section: Discussionmentioning

confidence: 98%

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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: 98%

“…Recently, the widespread availability of transrectal ultrasound has led to an increase in diagnosis of prostatic cysts. It has been reported that midline prostatic cysts were observed in 7.6% of healthy men and 5% of symptomatic outpatients [1,2]. The majority of patients are symptom-free.…”

Section: Introductionmentioning

confidence: 98%

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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“…La présence d'une lésion obstructive de la partie distale du canal éjaculateur telle qu'un calcul, une infection chronique, une prostatite avec des sécrétions épaisses, des manipulations transurétrales ou un corps étranger permet de distinguer le kyste acquis du kyste congénital [11]. Par ailleurs, ces kystes sont remplis de spermatozoïdes et peuvent entraîner une infertilité d'origine obstructive [8].…”

Section: Kystes Des Canaux éJaculateursunclassified

“…En effet, les kystes d'origine müllérienne contiennent un liquide jaunâtre, caractérisé par l'absence de spermatozoïdes. Par contre, le kyste des canaux éjaculateurs renferme des spermatozoïdes, du fructose et parfois des calculs [11,16].…”

Section: Examens Paracliniquesunclassified

Les kystes intraprostatiques: à propos de trois observations

Slimen

Fakhfakh

Charfi

et al. 2009

Basic Clin. Androl.

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Résumé Introduction Les kystes intraprostatiques sont considérés comme une affection rare, actuellement de découverte de plus en plus fréquente grace au développement des moyens d’imagerie. Certaines formes peuvent être responsables d’infertilité chez l’homme. Les auteurs se proposent d’étudier les différents aspects cliniques, diagnostiques et thérapeutiques des différents types de kystes intraprostatiques. Matériel et méthodes Entre 2002 et 2007, nous avons colligé trois cas de kyste intraprostatique en dehors des kystes utriculaires chez des hommes âgés de 32, 36 et 39 ans. Résultats Le motif de consultation était une infertilité primaire (deux cas) et des douleurs pelviennes (deux cas). Le toucher rectal a révélé une masse rénitente de la prostate dans deux cas. Le spermogramme a été perturbé dans deux cas. Le diagnostic a été confirmé par une échographie prostatique. Une ponction de première intention a été réalisée dans un cas avec récidive secondaire. Deux patients ont eu une urétroscopie montrant l’absence de communication entre le kyste et la lumière urétrale. Une résection du dôme saillant a été réalisée. L’évolution a été favorable dans tous les cas, avec amélioration du spermogramme et dissipation de la symptomatologie, sans aucune récidive. Conclusion Les kystes intraprostatiques représentent une pathologie bénigne d’origine le plus souvent congénitale. L’imagerie représente un élément capital dans le diagnostic et permet parfois de guider un geste thérapeutique. Le traitement n’est pas encore bien codifié, mais les kystes symptomatiques et/ou compliqués d’une hypofertilité peuvent bénéficier d’un traitement par voie endoscopique efficace et peu invasif.

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“…Prostatic cysts are observed in 0.5% to 7.9% of patients and are classified into six distinct types [1]. Most of them are origined from the posterior area of the prostate as an embriyologic remnant [2]. The semptomatic cysts may be confused with BPH or neuropatic bladder when they presented with lower urinary tract symptoms [3].…”

Section: Introductionmentioning

confidence: 99%

Anterior Prostatic Cyst Causing Acute Urinary Retansion in a Young Patient

Çelik¹

2016

Ann Clin Anal Med

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ÖzetProstat kistleri nadirdir. Çoğunlukla, asemptomatiktir ve prostat posterior alanın-dan köken alırlar. Anterior yerleşimli prostat kistleri posteriora göre çok daha seyrektir. Akut üriner retansiyon ile başvuran 41 yaşındaki erkek hastada prostatik kist saptandı. Kiste transüretral rezeksiyonu (TUR) yapıldı ve histopatolojik değer-lendirmede kolumnar epitel ve proliferatif ürotelyal astar ile kaplı bir benign kist olarak raporlandı. Özellikle obstrüktif alt üriner sistem semptomları olan genç erkeklerde prostat kistleri nadir görülür ve TUR ile prostat kist tedavisi oldukça başarılı sonuçlar alınan minimal invaziv bir yaklaşım gibi görünmektedir. Anahtar KelimelerKist, LUTS, Prostat, Akut Üriner Retansiyon Abstract Prostatic cysts are rare entities. Mostly, they originate from the posterior area of the prostate and asymptomatic. Anterior location of the prostatic cyst is rarer than posterior. The prostatic cyst in a 41 year-old man presenting with acute urinary retansion. Transurethral resection (TUR) of the cyst was performed, which revealed a benign cyst lined with columnar epithelium and proliferative urothelial lining on histopathological evaluation. Prostatic cysts particularly in young men with obstructive lower urinary tract symptoms are rarely seen. Management of the prostatic cyst with TUR seems to be a minimally invasive approach with successful outcomes.

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Midline Prostatic Cysts in Healthy Men: Incidence and Transabdominal Sonographic Findings

Abstract: Midline prostatic cysts represent a common variant in asymptomatic men. In a patient with urologic symptoms, detection of a midline prostatic cyst requires a focused examination to determine whether the cyst represents a normal variant or is the cause of symptoms.

Cited by 35 publications

References 6 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?

Les kystes intraprostatiques: à propos de trois observations

Anterior Prostatic Cyst Causing Acute Urinary Retansion in a Young Patient

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