Summary
Introduction
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.
Material and methods
We present a 12 months boy we treated due to proximal hypospadias in two stages, in
association to a dysplastic undescended testis that was excised. The karyotype of
the patient was 45X0/46XY and after successful hypospadias treatment, the mother complained
of purulent discharge in the diapers. A sonogram showed a large cyst behind the bladder
with heterogeneous content. The diagnosis of utricle cyst was confirmed by a NMR with
detailed anatomy and low confluence of the neck of the cyst to the urethra.
Results
We performed a robotic excision of the cyst consisting of careful dissection between
bladder and rectum and a safe ligation of the communication of it to the urethra.
Conclusion
Patient outcome was uneventful. To the best of our knowledge this is the youngest
patient with utricle cyst treated with robotic approach reported in the literature.
Keywords
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References
- Persistent Müllerian duct syndrome: lessons learned from managing a series of eight patients over a 10-year period and review of literature regarding malignant risk from the Müllerian remnants.BJU Int. 2012 Dec; 110: E1084-E1089
- The prostatic utricle cyst with huge calculus and hypospadias: a case report and a review of the literature.Can Urol Assoc J. 2015 May-Jun; 9: E345-E348
- Robot-assisted laparoscopic excision of prostatic utricle in a 3-year old.J Pediatr Urol. 2018; 14: 343-344
Article info
Publication history
Published online: August 26, 2020
Accepted:
August 20,
2020
Received in revised form:
August 14,
2020
Received:
May 29,
2020
Identification
Copyright
© 2020 Journal of Pediatric Urology Company. Published by Elsevier Ltd. All rights reserved.
