[Prostatic cysts of the midline: management and follow-up]

To analyze the presenting features, diagnosis and management of uncommon cystic lesions located at the midline of the prostate.

From 1990 to 1999, 8 patients with medial prostatic cyst were treated in our hospital. Vesicorenal ultrasound evaluation was the first procedure that was performed and was diagnostic in most of the cases. Only those patients that underwent surgery required admission to hospital.

The most common presenting features were irritative and obstructive voiding syndromes. Treatment achieved cure or clinical improvement.

Vesicorenal ultrasound assessment is the first procedure that should be considered in the diagnosis of this disease. Before ascribing the symptoms to a prostate cyst, other urological conditions with more prognostic relevance should be excluded. Treatment should be instituted only in the symptomatic patients and should be individualized according to the characteristics of each case.