Percutaneous resection of anteriorly located midline prostatic cyst: A case report and description of technique

Abstract

Highlights Anterior midline prostatic cysts are very rare. They might cause sever urinary symptoms. They are usually treated with transurethral resection of the prostate. Occasionally, transurethral resection is not feasible due to cyst location. Percutaneous resection of the cyst is a safe alternative if indicated.

Anteriorly Placed Midline Intraprostatic Cyst Resulting in Bothersome Lower Urinary Tract Symptoms: A Case Report

“…Our intraoperative observation of incomplete marsupialization of the cyst, which was located in a challenging position to be safely unroofed via a transurethral route, supports Al-Nasser and Almannie's recommendation [ 3 , 15 ]. Accordingly, a percutaneous approach could be superior to a transurethral marsupialization, providing an efficient, safe, and successful procedure to unroofing an anteriorly placed MPCs projecting at the bladder neck region.…”

“…When symptomatic, active intervention is recommended and changes according to the cyst’s location and size, and associated conditions. It can include transrectal aspiration with or without sclerotherapy, transurethral resection of the prostate (TRUP), transurethral and percutaneous unroofing or marsupialization of the cyst using wire loop, Collin’s knife or Holmium laser, and less frequently, open surgery [ 3 - 9 , 15 ]. The present case could have been managed by transrectal aspiration of the cyst, but potential risk factors include infection and recurrence.…”