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[Hemospermia and Mullerian duct cyst]
Nuria Rodríguez García1, Inmaculada Fernández González, Carlos Pascual Mateo
1Servicio de Urología, Hospital Univeritario de Getafe, Madrid, España.
Archivos Espanoles De Urologia
|February 18, 2006
Summary
Endoscopic marsupialization effectively treated a utricle cyst causing hemospermia. This minimally invasive procedure offers a high cure rate for symptomatic patients with complex cysts.
Area of Science:
- Urology
- Endourology
- Medical Case Reports
Background:
- Hemospermia, or blood in ejaculate, can be caused by various conditions.
- Utricle cysts, arising from the Müllerian duct remnant, are a rare cause of persistent hemospermia.
Observation:
- A middle-aged male presented with long-term monosymptomatic hemospermia.
- Digital rectal examination revealed a non-suspicious adenomatous prostate.
- Transrectal ultrasound identified a complicated utricle cyst.
Findings:
- Endoscopic marsupialization of the utricle cyst was successfully performed.
- The patient experienced complete remission of hemospermia following the procedure.
Implications:
- Transrectal ultrasound is recommended for evaluating patients with chronic hemospermia.
- Endoscopic marsupialization is an effective treatment for symptomatic or complex utricle cysts, with a high success rate and no reported side effects.