Bladder Outlet Obstruction Secondary to a Prostatic Cyst in a Young Adult: A Rare Case Report

Area of Science:

• Urology
• Medical Case Reports

Background:

• Bladder outlet obstruction (BOO) is a common urological issue, but obstruction by a prostatic cyst is rare.
• Prostatic cysts are typically congenital, arising from incomplete regression of the Müllerian duct.
• Symptoms vary widely, from acute urinary retention to chronic issues like oligospermia and prostatitis-like symptoms.

Purpose of the Study:

• To report a rare case of bladder outlet obstruction caused by a prostatic midline cyst.
• To highlight diagnostic challenges and effective management strategies for this condition.

Main Methods:

• Utilized ultrasonography (abdomen/pelvis) and transrectal ultrasound for diagnosis.
• Performed diagnostic cystoscopy and cyst deroofing (transurethral resection) for treatment.
• Managed the patient with urethral catheterization.

Main Results:

• Successfully treated bladder outlet obstruction caused by a prostatic midline cyst.
• Demonstrated the efficacy of transurethral cyst deroofing in a case without prostate enlargement.
• The patient's symptoms resolved post-procedure.

Conclusions:

• Prostatic midline cysts can cause significant bladder outlet obstruction even without an enlarged prostate.
• Advanced imaging and minimally invasive surgical techniques like cyst deroofing are crucial for management.
• This case contributes valuable clinical insights into a rare urological entity.