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Mullerian duct cyst (utricular cyst): treatment with the transvesical, transtrigonal approach
H K Goon1, K C Tan, A S Sakijan
1Paediatric Surgical Unit, Universiti Kebangsaan Malaysia.
Insights
Mullerian duct or utricular cysts in children present with urinary issues and rectal masses. Diagnosis is aided by endoscopic cyst cannulation, with surgical excision offering the best outcome.
Area of Science:
- Pediatric Urology
- Surgical Oncology
- Diagnostic Imaging
Background:
- Mullerian duct or utricular cysts can cause urinary difficulties and rectal masses in children.
- Early diagnosis and treatment are crucial to prevent complications.
Abstract:
The diagnosis of mullerian duct or utricular cyst should be considered in a child with urinary difficulties and a palpable midline, anterior rectal mass. Endoscopic cannulation of the cyst has been found to be the most useful diagnostic test. Infection should be treated with the appropriate antibiotics before definitive treatment. Surgical excision offers the best result. The transperitoneal and posterior parasacral approaches have been described but we favour the transvesical, transtrigonal approach which we find highly satisfactory. The risk of malignancy at a later age is an added indication for surgery.