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

Lazarus, J. Michael; Maison, Patrick Opoku Manu; Howlett, Justin

doi:10.14534/pucr.2017632142

Cited by 2 publications

(2 citation statements)

References 10 publications

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“…They are round in shape and are often found in adults (20-40y) with normal external genitalia. Prostate utricles are tubular or vesicular in shape and most commonly seen in children (<20y) with hypospadias, cryptorchidism and gender dysplasia, usually communicating with the prostatic urethra [19]. Our patient is rare and unusual because all the features are in favor of a utricle that presented in the first or second period and communicated with the urethra but at the same time our patient had normal external genitalia.…”

Section: Discussionmentioning

confidence: 86%

Prostatic utricles without external genital anomalies in children: our experience, literature review, and pooling analysis

Liu

Zhang

et al. 2019

BMC Urol

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Background It has been recognized that the incidence of prostatic utricle in boys is increasing and is closely associated with diseases such as hypospadias. However, the clinical features of prostatic utricle with normal external genitalia have received little attention. Methods Based on this, a series of 22 male children with prostatic utricles has been compiled by adding our 3 patients to 19 cases reported. All children enrolled had normal external genitalia. Clinical data of the case was reviewed. Results Urinary tract infection, purulent urethral discharge and pyuria were the most common presenting chief complaint (41%), irritative lower urinary tract symptoms were present in 17% of cases, obstructive lower urinary tract symptoms were noted in 14%. Urinary retention has been reported in 18% and epididymitis has been reported in 14%. Relatively rare clinical symptoms are abdominal pain, hematuria, and hematospermia. A case of calculus formation and a case of neoplasia within the prostatic utricle has been reported. A cystic mass found by digital rectal examination is the most common presenting sign. A utricular lesion posterior to the bladder was revealed by imaging examination. Unilateral renal agenesis was associated in 32% of reports. Non-surgical approach was chosen in 3 cases, transrectal ultrasonography guided aspiration has been reported in 1 case. Endoscopic techniques were used in 3 cases. Open excision was used in 11 cases. The laparoscopic excision was chosen in 3 cases and Robot-assisted laparoscopy was reported in 1 case. Symptoms and signs disappeared after treatment in all children, and no recurrence occurred during follow-up. Conclusions Prostate utricles without external genital anomalies are rarely reported in children, and are easily missed and misdiagnosed, often accompanied by recurrent urinary tract infections, lower urinary tract symptoms, epididymitis, dysuria and other symptoms. Imaging studies can confirm the diagnosis. Symptomatic and large utricles should be actively treated. The treatment program should be based on the age, clinical symptoms, and size and location of the utricle.

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Section: Discussionmentioning

confidence: 86%

Prostatic utricles without external genital anomalies in children: our experience, literature review, and pooling analysis

Liu

Zhang

et al. 2019

BMC Urol

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show abstract

“…Its incidence is reported at about 10-15% in male infants with hypospadias, cryptorchidism or intersex abnormalities. It occurs due to delay in the male hormonal production leading to incomplete regression of the Mullerian ducts [8]. To date there have been no reports in literature suggestive of its association with fetal or neonatal ascites following rupture.…”

Section: Discussionmentioning

confidence: 99%

Ruptured Prostatic Utricle Cyst – An Unusual Cause of Isolated Neonatal Urinary Ascites

Sj¹,

Lk²,

Mc³

2021

AJSCCR

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

Cited by 2 publications

References 10 publications

Prostatic utricles without external genital anomalies in children: our experience, literature review, and pooling analysis

Prostatic utricles without external genital anomalies in children: our experience, literature review, and pooling analysis

Ruptured Prostatic Utricle Cyst – An Unusual Cause of Isolated Neonatal Urinary Ascites

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