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Newer Insights into Prostatic Utricle in Proximal Hypospadias
Mamta Sengar1, Niyaz Ahmed Khan1, Yousuf Siddiqui1
1Department of Pediatric Surgery, Chacha Nehru Bal Chikitsalaya, Delhi, India.
Journal of Indian Association of Pediatric Surgeons
|October 14, 2022
Summary
Enlarged prostatic utricles (PUs) are common in boys with hypospadias. While often asymptomatic, these wide-mouthed PUs can lead to complications like infections and urinary obstruction.
Area of Science:
- Urology
- Pediatric Surgery
- Anatomy
Background:
- Prostatic utricles (PUs) are Mullerian duct remnants in the male posterior urethra.
- Enlarged symptomatic PUs are associated with hypospadias, but definitions and clinical significance are poorly understood.
Purpose of the Study:
- To anatomically characterize PUs in severe hypospadias cases.
- To determine the clinical significance of enlarged PUs in this population.
Main Methods:
- Prospective study enrolling patients with proximal hypospadias.
- Cystoscopy performed to record PU size, location, and symptomatology.
- PUs >0.5 cm defined as enlarged.
Main Results:
- 70 cases analyzed over 2 years.
- 67.14% (47/70) of patients had enlarged, wide-mouthed PUs.
- Recurrent epididymo-orchitis, UTIs, and obstructive symptoms were common complications.
Conclusions:
- PUs in hypospadias patients are frequently enlarged and wide-mouthed.
- While often asymptomatic, PUs can cause significant complications.
- Cystoscopy is the preferred method for visualizing PU anatomy and assessing risk.
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