Ectopic opening of vasa deferentia into a prostatic utricle cyst

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Abstract

Prostatic utricle cysts result from incomplete regression of the Müllerian duct remnant or decreased androgenic stimulation of the urogenital sinus. Children usually present with urinary tract infections (UTIs), irritative symptoms and urine retention, although some cases are asymptomatic. These cysts sometimes can cause a palpable abdominal mass, urethral discharge, terminal hematuria and recurrent epididymitis. A high incidence of such cysts is seen in boys with hypospadias, especially the more proximal types.

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Most cited references 5

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Laparoscopic excision of a prostatic utricle in a child.

Adam Roberts, Craig MacKinnon, I E Willetts (2003)

Prostatic utricle cysts result from incomplete regression of Mullerian duct structures and occur most frequently in males with perineal or peno-scrotal hypospadias. Utricular cysts may present with various signs and symptoms including urinary tract infection, pain and post-void incontinence, a palpable abdominal mass or recurrent epididymitis. Treatment is reserved for symptomatic cysts and various techniques have been described including transurethral deroofing, endoscopic incision or surgical excision by suprapubic, posterior and midline transvesical approaches. We present a successful minimally invasive approach for excision of a prostatic utricle cyst in a child. Laparoscopic excision is a safe and viable alternative to open procedures in the surgical treatment of symptomatic utricle cysts in childhood. The presence of a cystoscope within the utricle orifice aids identification and safe dissection of the utricular remnant.

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Comparison between ultrasonography and retrograde urethrography for detection of prostatic utricle associated with hypospadias

Yoshiyuki Kojima, Yutaro Hayashi, Tetsuji Maruyama … (2001)

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Symptomatic prostatic utricle: Various approaches for treatment

S Manjiri, K. Luthra, SK Padmalatha … (2020)

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Author and article information

Contributors

Ahmed Eshiba

Mostafa Kotb

Mohamed Abouheba

Journal

Journal ID (nlm-ta): Urol Case Rep

Journal ID (iso-abbrev): Urol Case Rep

Title: Urology Case Reports

Publisher: Elsevier

ISSN (Electronic): 2214-4420

Publication date PMC-release: 08 October 2022

Publication date Collection: November 2022

Publication date (Electronic): 08 October 2022

Volume: 45

Electronic Location Identifier: 102257

Affiliations

[1]Alexandria Faculty of Medicine, Alexandria, Egypt

Author notes

[∗ ]Corresponding author. Department of Pediatric Surgery, Alexandria Faculty of Medicine, Alexandria, 21615, Egypt. mostafa.rashad@ 123456alexmed.edu.eg

Article

Publisher Item ID: S2214-4420(22)00269-8 Publisher ID: 102257

DOI: 10.1016/j.eucr.2022.102257

PMC ID: 9587368

PubMed ID: 36281437

SO-VID: 44e2fa41-36f1-48c8-938d-6dedbe1a1dc8

License:

This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

History

Date received : 31 August 2022

Date revision received : 2 October 2022

Date accepted : 7 October 2022

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