Surgical management of enlarged prostatic utricle.
The prostatic utricle (PU), or prostatic pouch, is a rudimentary structure present in the male prostatic urethra, and is derived from both the müllerian and wolffian ducts. As the PU is of mixed origin, a patient with an enlarged utricle should be carefully examined to ascertain whether it is associated with female internal organs. The clinical presentation, diagnostic evaluation, and a new surgical approach, posterior sagittal rectum retracting, are discussed. A plan for management of PU with proximal hypospadias is suggested.
Meisheri
I V
IV
Department of Pediatric Surgery, BJ Wadia Hospital for Children, Mumbai, India.
Motiwale
S S
SS
Sawant
V V
VV
D002648:Child; D002675:Child, Preschool; D006801:Humans; D007021:Hypospadias / Q000601:surgery; D007223:Infant; D008297:Male; D011446:Prospective Studies; D011467:Prostate / Q000002:abnormalities* / Q000601:surgery