Surgical treatment of the Müllerian duct remnants

An unusual case of a prenatally detected large mullerian duct remnant

“…The enlarged prostatic utriculus may be associated with a range of pathology including recurrent infection, voiding dysfunction, urinary incontinence, pain, infertility, haematospermia, ejaculatory disturbance and neoplasia [5]. Diagnosis of the condition is difficult as proved with our case.…”

“…There is a large number of challenging surgical approaches to the prostatic utricle, which includes open, laparoscopic and transurethral procedures. Open procedures allow definitive treatment in the paediatric population and yield the most effective results [5].…”

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

“…Surgical treatment should be reserved only for symptomatic utricle cysts. The definitive treatment of symptomatic utricular cyst is open excision or laparoscopic excision but endoscopic transurethral cyst drainage, cyst orifice dilatation, incision and deroofing have been described as well [10][11][12]. Our patient was treated endoscopically by cyst orifice incision and drainage with successful outcome.…”

Uterine adenosarcoma in a boy with persistent müllerian duct syndrome: first reported case

“…We elected the transperitoneal approach for superior access to all pelvic structures that may have required resection. Other authors have noted difficulty using the transperitoneal approach in achieving complete excision inferiorly near remnant attachment to the posterior urethra and some advocate supplementing the transperitoneal approach with a second-stage perineal or transanorectal procedure to achieve complete excision with superior exposure [5].…”