Transvesical approach to utricular cysts

Utricular cyst is an uncommon problem, mainly encountered in intersex conditions and is usually asymptomatic. These lesions have been classified in three main groups following the degree of masculinization by Howard. Three of our patients nevertheless have presented with very severe utricular and urinary infections, one of these having developed a scrotal fistula. Another was incontinent due to intra-utricular trapping. The first patient was operated upon by a perineal approach which we found extremely difficult. The next two patients were operated by a transvesical approach which offered many advantages: excellent exposure, ease of surgery, good reconstruction, and no sequellae.