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03:26
Detrusor Underactivity Model in Rats by Conus Medullaris Transection
Published on: August 28, 2020
[Bladder dysfunction caused by a large presacral retention mucocele]
1Klinik für Urologie und Neuro-Urologie, Ruhr-Universität Bochum, Marienhospital Herne, Widumer Strasse 8, Herne, Germany. Toby.Klein@t-online.de
Der Urologe. Ausg. A
|March 30, 2010
Summary
A large pelvic mucocele caused long-term bladder dysfunction in a man. Surgical removal resolved his urinary symptoms, highlighting the importance of considering rare masses in neuro-urology.
Area of Science:
- Urology
- Gastroenterology
- Surgical Pathology
Background:
- Pelvic masses can cause significant bladder dysfunction, including urinary stream reduction and incomplete emptying.
- Neuro-urology addresses complex bladder issues often linked to neurological or structural abnormalities.
Observation:
- A 42-year-old male presented with lifelong symptoms of reduced urinary stream, poor bladder filling, and urinary retention.
- Previous conservative treatments for his bladder dysfunction were unsuccessful.
- Diagnostic imaging revealed a large cystic mass impinging on the urinary bladder.
Findings:
- Histopathological examination identified the mass as a retention mucocele.
- The patient had a history of surgical correction for congenital anal atresia.
- Surgical excision of the mucocele was performed.
Implications:
- Retention mucoceles, though rare, can present as large pelvic masses causing significant bladder outlet obstruction.
- This case underscores the need for comprehensive evaluation in neuro-urology, including consideration of congenital anomalies and their sequelae.
- Successful surgical management of such masses can restore normal bladder function.
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