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Prostatic utricle cysts (müllerian duct cysts)
The Journal of Urology
|June 1, 1978
Summary
Prostatic utricle cysts, often presenting with urinary symptoms or rectal masses, require careful surgical consideration. A posterior surgical approach may offer better outcomes for these rare müllerian duct anomalies.
Area of Science:
- Urology
- Pediatric Surgery
- Developmental Biology
Background:
- Prostatic utricle cysts are rare müllerian duct remnants in males.
- These cysts can cause significant lower urinary tract symptoms and other complications.
Purpose of the Study:
- To compile and analyze a series of male patients diagnosed with prostatic utricle cysts.
- To review clinical presentations, associated anomalies, and surgical outcomes.
Main Methods:
- A retrospective review of 88 male patients with prostatic utricle cysts.
- Analysis of presenting symptoms, physical findings, associated anomalies, and surgical approaches.
Main Results:
- Lower urinary tract symptoms (irritative and obstructive) were common presenting complaints.
- Cystic rectal mass, hypospadias, and undescended testes were frequently observed.
- The suprapubic surgical approach had a high failure rate; the posterior approach showed promise.
Conclusions:
- Prostatic utricle cysts present with diverse clinical features and associated anomalies.
- Surgical management requires careful consideration, with the posterior approach potentially offering superior outcomes.
- A small but significant incidence of malignancy exists within these cysts.