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Surgical management of enlarged prostatic utricle

I V Meisheri1, S S Motiwale, V V Sawant

  • 1Department of Pediatric Surgery, BJ Wadia Hospital for Children, Mumbai, India.

Pediatric Surgery International
|April 29, 2000
PubMed

Insights

The prostatic utricle (PU), a male urethral structure of mixed origin, requires careful examination for associated female internal organs. Management strategies for PU, including a novel surgical approach, are discussed.

Area of Science:

  • Urology
  • Embryology
  • Pediatric Surgery

Background:

  • The prostatic utricle (PU) is a rudimentary structure in the male prostatic urethra.
  • It originates from both the müllerian and wolffian ducts, indicating a mixed embryological origin.

Purpose of the Study:

  • To discuss the clinical presentation and diagnostic evaluation of enlarged prostatic utricles.
  • To introduce a new surgical approach for PU management.
  • To suggest a management plan for PU associated with proximal hypospadias.

Main Methods:

  • Review of clinical presentations and diagnostic methods for PU.
  • Description of a novel surgical technique: posterior sagittal rectum retracting.
  • Development of a management strategy for complex PU cases.

Main Results:

  • Enlarged PU necessitates examination for associated female internal organs due to its mixed origin.
  • The posterior sagittal rectum retracting technique offers a new surgical option.
  • A structured management plan is proposed for PU with proximal hypospadias.

Conclusions:

  • Prostatic utricle requires thorough evaluation due to its embryological basis.
  • Novel surgical techniques can effectively address PU.
  • Integrated management approaches are crucial for PU, especially when co-occurring with hypospadias.

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