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Bladder neck obstruction secondary to Brunn's cyst.
The Journal of Urology
|January 1, 1988
Summary
A large Brunn's cyst caused bladder outlet obstruction in a young man. Surgical unroofing and drainage resolved the issue, restoring normal urination.
Area of Science:
- Urology
- Pathology
Background:
- Brunn nests are common benign findings in the bladder.
- They can occasionally form cysts, but large solitary cysts causing obstruction are rare.
Observation:
- A 29-year-old male presented with symptoms of bladder outlet obstruction.
- A large solitary Brunn's cyst was identified as the cause of a ball-valve obstruction at the bladder neck.
- No signs of inflammation were present.
Findings:
- Surgical unroofing and drainage of the cyst successfully relieved the obstruction.
- Histopathological review confirmed the nature of Brunn's nests.
Implications:
- This case highlights that solitary Brunn's cysts can cause significant bladder outlet obstruction.
- Prompt surgical intervention can effectively treat this condition.
- Understanding the histopathology of Brunn's nests is crucial for diagnosis and management.