[Echo-guided percutaneous treatment of intraprostatic cysts]

Diagnostic and therapeutic values regarding echoguided percutaneous treatment of intraprostatic cysts are reviewed and discussed. Since 1987 we have detected by ultrasonography 48 intraprostatic cysts, 22 asymptomatic patients were evaluated periodically. A ultrasound guided percutaneous puncture was performed in 26 symptomatic patients. 10 patients affected by dysuria were treated by aspiration and injection of antibiotics. 14 oligospermic patients underwent cyst aspiration followed by introduction of sclerosing agents (aethoxysclerol or alcohol). In one communicating cyst simple aspiration has been performed. A giant cystoadenoma has been resolved by surgical procedure. In the follow-up (2 months - 6 years) we observed: 5 recurrences (50%) in the cysts treated with antibiotics and 6 (43%) recurrences in the cysts treated with sclerosing agents. However, 8 patients out of 10 obtained a resolution of the urinary symptoms and 8 patients out of 14 improved their seminal parameters. On our experience, percutaneous echoguided treatment of prostatic cysts is a suitable and safe technique because of the possibility to resolve some clinic problems, although an high recurrence rate.