A Müllerian Prostatic Cyst Protruding into the Base of the Urinary Bladder

Barzilai, Menashe; Ginesin, Y

doi:10.1159/000030251

Cited by 10 publications

(8 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Sperm is never found in the mullerian duct cyst [10]. Besides, a prostatic utricle cyst is usually restricted to the prostate region, while the mullerian duct cyst may extend over the base of the prostate and form a visible protrusion into the bladder [11]. It should be noticed that not all cystic lesions located at the midline of the prostate are müllerian duct cysts or prostatic utricle cysts.…”

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

View full text Add to dashboard Cite

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.

show abstract

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

View full text Add to dashboard Cite

show abstract

“…PU ve VM adölesan dönem ve sonrasında infertilite, kistleşme, kalsifikasyon ve karsinoma gelişimi gibi komplikasyonlara yol açabil-mektedir (7,(16)(17). Bu nedenle cerrahi eksizyon yapılamayan hastaların takibi gerekmektedir.…”

Section: Discussionunclassified

Hipospadiyas ve İnterseks Olgularında Prostatik Utrikül Konfigürasyonu Prostatic Utricle Configuration in Hypospadias and Intersex Patients

Levent;ÇİFTÇİ¹

2007

Ankara Üniversitesi Tıp Fakültesi Mecmuası

View full text Add to dashboard Cite

Amaç: Hipospadiyas ve interseks olgularında prostatik utrikül (PU) sıklığı, klinik karakteristikleri, tedavi metodları ve izlem sonuçlarını değerlendirdik.Gereç ve Yöntem: Hipospadiyas (n:72) ve interseks (n:108) tanılarıyla tedavi edilen, radyolojik ve endoskopik incelemelerle PU varlığı araştırılan hastalar retrospektif olarak incelendi.Bulgular: PU sıklığı hipospadiyas olgularında %12.5, interseks olgularında ise %22.2 bulundu. Her iki grupta en sık görülen klinik semptomlar üriner enfeksiyon, üriner obstrüksiyon, enürezis ve ürolitiyazisdir.Sonuç: İnterseks ve ağır hipospadiyas olgularında PU varlığı radyolojik ve endoskopik yöntemler-le araştırılmalıdır. Cerrahi tedavide ana amaç üretra, mesane boynu, sfi nkterler ve pelvik sinir ağına zarar vermeden, büyümüş PU yapılarının tümüyle çıkartılmasıdır.Anahtar Kelimeler: Hipospadiyas, interseks, prostatik utrikül. Aim:A retrospective clinical trial was performed to evaluate prostatic utricle (PU) incidence, clinical characteristics, treatment and follow-up outcomes in hypospadias and intersex patients.Material and Methods: Hypospadias (n:72) and intersex (n:108) patients in whom the confi guration of PU were evaluated by radiological and endoscopic investigations. Results:The incidence of PU was 12.5% and 22.2% in hypospadias and intersex patients. Urinary infection, obstruction, enuresis and urolithiasis were the most common clinical symptoms in both groups.Conclusion: PU should be evaluated by radiological and endoscopic investigations in intersex and hypospadias patients. The main goal of surgical therapy is total excision of extended PU structures without damaging to urethra, bladder outlet, sphincter and pelvic plexuses.

show abstract

“…Anatomically, these cysts derive from the caudal ends of the fused Mullerian duct, originating at the level of the verumontanum, entering medioposteriorly [5]. As the cyst grows to extend superiorly to the prostate gland, it may press on the proximal prostatic urethra, ejaculatory duct, bladder trigone or rectum [6]. The content of the Mullerian duct cyst has been variously described as serous, mucoid, purulent or hemorrhagic.…”

Section: Discussionmentioning

confidence: 99%