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[Cyst of the ejaculatory duct]

J Borrego1, E Fernández, J Del Hoyo

  • 1Servicio de Urología, Hospital Ramón y Cajal, Madrid.

Actas Urologicas Espanolas
|October 1, 1994
PubMed
Summary

This study presents a rare ejaculatory duct cyst case in a 49-year-old male. Abdominal exeresis surgery was successful after endoscopic procedures failed, showing excellent long-term results.

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Area of Science:

  • Urology
  • Radiology
  • Surgical Pathology

Background:

  • Ejaculatory duct cysts are rare congenital anomalies in males.
  • They can present with non-specific symptoms like hemospermia and urethrorrhagia.
  • Accurate diagnosis is crucial for effective management.

Observation:

  • A 49-year-old male presented with a 6-month history of hemospermia and urethrorrhagia.
  • Imaging studies including ultrasound, deferent-vesiculography, CT, and MRI confirmed the cyst.
  • No associated congenital malformations were identified.

Findings:

  • Endoscopic surgery failed to resolve the cyst.
  • Abdominal exeresis was performed as the primary surgical approach.
  • The patient demonstrated excellent recovery post-operatively and at one-year follow-up.

Implications:

  • Abdominal exeresis is a viable treatment option for ejaculatory duct cysts, especially after endoscopic failure.
  • This case highlights the importance of comprehensive imaging in diagnosing male pelvic cystic lesions.
  • Further discussion on etiology and differential diagnosis aids in clinical practice.

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