[Clinical features and minimally invasive treatment of prostatic utricle cyst].
OBJECTIVE
To investigate the clinical characteristics, diagnostic methods and minimally invasive treatment of prostatic utricle cyst.


METHODS
We retrospectively analyzed the clinical data of 9 cases of prostatic utricle cyst, of whom 5 presented with frequent or urgent micturition, 3 with difficult urination or thinning urinary stream, and the other 1 with hemospermia. All the cases underwent ultrasonography and MRI. Transurethral cyst deroofing was performed for 3 of the patients with smaller cysts close to the prostatic urethra, and laparoscopic excision of the prostatic utricle was conducted for the other 6 with bigger cysts behind the prostatic urethra.


RESULTS
The duration of transurethral cyst deroofing ranged from 30 to 50 min and intraoperative bleeding was 20 -70 ml; the mean time of laparoscopic excision of the prostatic utricle was 100 - 150 min and intraoperative bleeding was 30 -50 ml. All the patients were followed up for 3 - 12 months, which revealed normal penile erection and ejaculation, and no urinary tract irritation or difficult urination.


CONCLUSIONS
Ultrasonography and MRI are excellent imaging modalities for accurate depiction of prostatic utricle cyst. Transurethral cyst deroofing is valuable for prostatic utricle cyst close to the prostatic urethra. Laparoscopic excision of the prostatic utricle, owing to its safety, effectiveness, minimal invasiveness, fewer complications and rapid recovery, can be used as the first option for the treatment of prostatic utricle cyst.
Department of Urology, Xiangya Hospital, Central South University, Changsha, Hunan 410008, China.
Xiong-Bing
XB
Zu
Min-Feng
MF
Chen
Zhang-Qun
ZQ
Ye
Si-Wei
SW
Zhou
Lin
L
Qi
Xiang-Yang
XY
Zhang
D000328:Adult; D003560:Cysts / Q000175:diagnosis* / Q000601:surgery*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures; D011469:Prostatic Diseases / Q000175:diagnosis* / Q000601:surgery*; D012189:Retrospective Studies; D014463:Ultrasonography