Prostate cystadenoma presenting with obstructive azoospermia.
We report on a case of prostate multilocular cystadenoma presenting with primary infertility and obstructive azoospermia. Our patient is a 36-year-old presenting with primary infertility in addition to mild deep pelvic pain. Semen analysis revealed azoospermia with positive fructose. His prostate-specific antigen was 0.7 ng/dL and his imaging revealed a large multilocular cystic mass with multiple internal enhancing septa. Transrectal ultrasonography-guided aspiration and biopsies revealed a lining of regular low cuboidal cells. Surgical removal was undertaken through a transperitoneal/retroperitoneal approach and pathology was consistent with a prostatic multilocular cystadenoma. Further studies are needed to characterize and classify cystic lesions of the prostate.
Department of Urology, Cairo University, Cairo, Egypt. amosharafa@kasralainyurology.net
Ashraf A
AA
Mosharafa
Mohammed H
MH
Torky
Yasser
Y
Ragab
Nader
N
Dahba
D053713:Azoospermia / Q000209:etiology*; D003537:Cystadenoma / Q000473:pathology*; D006801:Humans; D007248:Infertility, Male / Q000209:etiology*; D008297:Male; D011467:Prostate / Q000473:pathology*; D011471:Prostatic Neoplasms / Q000150:complications / Q000473:pathology* / Q000601:surgery; D013521:Urologic Surgical Procedures, Male / Q000379:methods