Brunn's cyst: A rare cause of lower urinary tract symptoms

Abstract

Brunn's cyst in the region of the bladder neck is a rare cause of lower urinary tract obstruction. This case describes the ultrasonographic and intra-venous urographic findings of Brunn's cyst in a 53-year-old male presenting with lower urinary tract symptoms.

A Brunn’s cyst as a cause of bladder outlet obstruction: a case report

“…Our patient had a rare cause of bladder outlet obstruction secondary to a Brunn's cyst at the bladder neck. [1][2][3][4][5][6] The differential diagnosis of a cystic lesion near the bladder neck is presence of an intraurethral prostatic cyst 7 or ureterocele 8 , which can cause irritative or obstructive voiding symptoms. Transurethral resection of the cyst only at the base of the cyst is the primary mode of treatment in a young patient.…”

“…This operation has resulted in a resolution of the symptoms. [1][2][3][4][5][6] Due to the benign nature of the pathology in this case, routine surveillance in the absence of the symptoms would appear to be unnecessary 5 .…”

Images – A rare case of Brunn’s cyst causing obstructive lower urinary tract symptoms in a young male

“…First-line treatment has been universally described as transurethral deroofing and resection, which results in durable resolution of voiding symptoms with no reported recurrences. [2][3][4] Given the benign nature of the pathology, routine surveillance in the absence of symptoms appears to be unnecessary.…”

“…1 Bladder outlet obstruction caused by Brunn's cysts is rare, with limited reported cases in the literature, all of which are described in males. [2][3][4] Case report A previously healthy 37-year-old male was referred with new onset obstructive voiding symptoms. He had been complaining of weak stream, hesitancy, straining, and incomplete emptying for 2 months, with an IPSS score of 10 and bother score of 5.…”