An acute urinary retention in an old man caused by a giant müllerian duct cyst: a case report

Cysts of the lower male genitourinary tract are uncommon and usually benign. These cysts have different anatomic origins and may be associated with a variety of genitourinary abnormalities and symptoms. Various complications may be associated with these cysts, such as urinary tract infection, pain, postvoiding incontinence, recurrent epididymitis, prostatitis, and hematospermia, and they may cause infertility. Understanding the embryologic development and normal anatomy of the lower male genitourinary tract can be helpful in evaluating these cysts and in tailoring an approach for developing a differential diagnosis. There are two main groups of cysts of the lower male genitourinary tract: intraprostatic cysts and extraprostatic cysts. Intraprostatic cysts can be further classified into median cysts (prostatic utricle cysts, müllerian duct cysts), paramedian cysts (ejaculatory duct cysts), and lateral cysts (prostatic retention cysts, cystic degeneration of benign prostatic hypertrophy, cysts associated with tumors, prostatic abscess). Extraprostatic cysts include cysts of the seminal vesicle, vas deferens, and Cowper duct. A variety of pathologic conditions can mimic these types of cysts, including ureterocele, defect resulting from transurethral resection of the prostate gland, bladder diverticulum, and hydroureter and ectopic insertion of ureter. Accurate diagnosis depends mainly on the anatomic location of the cyst. Magnetic resonance imaging and transrectal ultrasonography (US) are excellent for detecting and characterizing the nature and exact anatomic origin of these cysts. In addition, transrectal US can play an important therapeutic role in the management of cyst drainage and aspiration, as in cases of prostatic abscess.

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“…They are most commonly found in males under 20 years of age. They reportedly occur in about 1%-5% of the general population (10,11).…”

Section: Intraprostatic Cysts Median Cystsmentioning

confidence: 99%

“…Müllerian duct cysts are usually asymptomatic but may manifest in early adulthood with urinary retention and urinary tract infection (11). They may also cause ejaculatory impairment by obstructing the ejaculatory duct in the midline.…”

Section: Intraprostatic Cysts Median Cystsmentioning

confidence: 99%

Cysts of the Lower Male Genitourinary Tract: Embryologic and Anatomic Considerations and Differential Diagnosis

Shebel¹,

Farg²,

Kolokythas³

et al. 2013

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“…2 However, utricle cysts may cause symptoms, like pain, postvoiding incontinence, hematospermia, recurrent urinary tract infections and recurrent epididymitis in early ages of life. 3 In addition, we can aspirate content of the cyst for differential diagnosis, at radiological investigation. At aspiration, MDCs never contain with spermatozoa.…”

Section: Discussionmentioning

confidence: 99%

“…3,[9][10][11] Aspiration under TRUS guidance is a safe treatment modality, but recurrence of the cyst may occur in many cases. 3,9 On the other hand, cyst excision with open surgery may be chosen in for larger cysts. 10 Besides invasiveness and morbidity of open surgery and seminal vesicle injury, open cyst excision is not recommended and this procedure should be chosen in infertile patients.…”

Section: Pimentioning

confidence: 99%

A Rare Case of Intraprostatic Median Cyst Presenting with Lower Urinary Tract Symptoms

Hamidi¹,

Telli²,

Burgu³

et al. 2015

Turkiye Klinikleri J Urology

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ysts of the lower male genitourinary tract divided into two groups: intraprostatic and extraprostatic. Intraprostatic cysts classification may be evaluated in 3 titles: median cysts (prostatic utricle, mullerian duct), paramedian cysts (ejaculatory duct) and lateral cysts (prostatic retention cysts, cystic degeneration of benign prostate hyperplasia, prostatic abscess, cysts associated with tumors).1 In spite of the development in radiological imaging and pathological assessment techniques, the differential diagnosis of median intraprostatic cysts is still not easy.2 In general, symptoms occur in early ages of life.1 Particularly presenting with lower urinary tract symptoms (LUTS) is very rare. 3 CASE REPORTA 34-year-old fertile man with no significant medical and surgical history was admitted to our clinic with obstructive LUTS present for 8 years. His symptoms worsened during the last 12 months and International Prostate Turkiye Klinikleri J Urology 2015;6(1) 23A Rare Case of Intraprostatic Median Cyst Presenting with Lower Urinary Tract Symptoms A AB BS ST TR RA AC CT T Intraprostatic cysts are usually asymptomatic and uncommon. In this kind of cysts, lower urinary tract symptoms are unexpected. Due to similar embryological structure and radiological imaging, the differential diagnosis of intraprostatic cysts is difficult. However, clinical aspects can be useful in differential diagnosis. Herein, we report a case of intraprostatic median cyst with lower urinary tract symptoms in fourth decade of his life. We also discuss the differential diagnosis of median intraprostatic cysts on the based on this case. Ya zış ma Ad re si/Cor res pon den ce:

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“…Mullerian duct cyst may present with urinary retention, urinary tract symptoms, renal failure or constipation as was the scenario in the index case. [4][5][6][7] All these cases were mostly reported from adult population except the one from which was in 5 year old child. [7] There are also reports of association of such cysts with renal agenesis and malignant transformation.…”

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confidence: 99%

Symptomatic Mullerian Duct Cyst in a Male Infant

et al. 2016

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Symptomatic Mullerian duct cyst is a rare entity in children. A 9-month-old male infant presented with bowel and urinary obstructive symptoms. Imaging investigations revealed a cystic mass in the rectovesical pouch compressing bladder neck and rectum. At laparotomy, a Mullerian duct cyst was found. Most of the cyst was excised and the remaining cyst mucosa was cauterized. The child improved thereafter.

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An acute urinary retention in an old man caused by a giant müllerian duct cyst: a case report

Cited by 11 publications

References 11 publications

Cysts of the Lower Male Genitourinary Tract: Embryologic and Anatomic Considerations and Differential Diagnosis

Cysts of the Lower Male Genitourinary Tract: Embryologic and Anatomic Considerations and Differential Diagnosis

A Rare Case of Intraprostatic Median Cyst Presenting with Lower Urinary Tract Symptoms

Symptomatic Mullerian Duct Cyst in a Male Infant

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