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[The pathological prostatic utricle: two case reports]

M Njeh1, J Mnif, A Bahloul

  • 1Service d'Urologie, Hôpital Habib Bourguiba, Sfax, Tunisie.

Progres En Urologie : Journal De L'Association Francaise D'Urologie Et De La Societe Francaise D'Urologie
|April 1, 1997
PubMed
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Pathological prostatic utricle, a dilated diverticulum, causes urinary issues in young males. Surgical resection is recommended for all cases, with approach varying by utricle size.

Area of Science:

  • Urology
  • Pediatric Urology
  • Surgical Pathology

Background:

  • The prostatic utricle is a normally small, vestigial structure within the prostate.
  • Abnormal dilation signifies a pathological prostatic utricle, often presenting with urinary symptoms.

Observation:

  • Two cases of pathological prostatic utricle are presented: an 11-year-old boy and a 25-year-old man.
  • Symptoms included dysuria and, in one case, a palpable retrovesical mass.

Findings:

  • Diagnosis was confirmed via retrograde cystourethrography and suggested by IVU and ultrasonography.
  • Surgical resection was performed using either a transtrigonal intravesical or a retrovesical approach.

Implications:

  • Early identification of pathological prostatic utricle is crucial in young males with dysuria, especially those with co-existing genitourinary malformations.

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  • Complete surgical resection is the standard treatment, with technique tailored to utricle size.