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Bladder Outlet Obstruction Secondary to a Brunn's Cyst
Gwen M Grimsby1, Mark D Tyson1, Bernard Salevitz1
1Department of Urology, Laboratory Medicine and Pathology, Mayo Clinic, Phoenix, Ariz., USA.
Current Urology
|June 12, 2014
Summary
A rare Brunn's cyst caused bladder outlet obstruction in a 43-year-old male. Surgical unroofing resolved symptoms, highlighting this unusual cause of urinary obstruction.
Area of Science:
- Urology
- Pathology
Background:
- Bladder outlet obstruction (BOO) is common in older men due to benign prostatic hypertrophy.
- Urethral stricture disease is a frequent cause of BOO in younger men.
Observation:
- A 43-year-old male presented with obstructive urinary complaints.
- Diagnostic imaging and cystoscopy identified a cystic lesion at the bladder neck.
Findings:
- Transurethral unroofing of the bladder neck cyst successfully resolved the obstruction.
- Pathology confirmed a Brunn's cyst, a rare finding associated with BOO.
Implications:
- Brunn's cysts should be considered in the differential diagnosis of bladder outlet obstruction in younger men.
- Minimally invasive surgical techniques can effectively treat this condition.
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