Diagnosis and treatment of midline prostatic cysts.
We report three patients with midline prostatic cysts (simple, n=1; complex, n=2) that presented with low ejaculate volume and hematospermia. Transrectal ultrasound (TRUS) revealed a midline prostatic cystic structure that could represent either an ejaculatory duct cyst or a Müllerian duct cyst. In one patient, the ejaculatory duct cyst was confirmed by identification of spermatozoa at microscopic analysis of fluid obtained by TRUS-guided needle aspiration. The two other patients underwent transurethral incision of the cyst with complete resolution of symptoms.
Moukaddam
Hicham A
HA
Department of Diagnostic Radiology, American University of Beirut Medical Center, Lebanon.
Haddad
Maurice C
MC
El-Sayyed
Khaled
K
Wazzan
Wassim
W
D000328:Adult; D003560:Cysts / Q000175:diagnosis / Q000000981:diagnostic imaging* / Q000601:surgery; D019160:Endosonography; D006801:Humans; D007248:Infertility, Male / Q000175:diagnosis / Q000209:etiology; D008297:Male; D009845:Oligospermia / Q000175:diagnosis / Q000209:etiology; D011469:Prostatic Diseases / Q000175:diagnosis / Q000000981:diagnostic imaging* / Q000601:surgery; D016896:Treatment Outcome; D013521:Urologic Surgical Procedures, Male / Q000379:methods