Ectopic opening of cystic dilatation of the ejaculatory duct into enlarged prostatic utricle.
A 28-year-old man was referred to our department for the management of  recurrent hemospermia during the past 5 years. Genital examination and  hormonal levels were normal. Semen analysis showed no change in volume and pH;  however, hemospermia and asthenozoospermia were observed. Ultrasonography and  computed tomography scan revealed the presence of a cystic lesion with  calcification in the terminal part of seminal vesicles adjoining the prostate  gland. The following vasography and endoscopic retrograde urethrography  demonstrated 2 communicating cystic dilatations arising from the verumontanum.  The diagnosis of cystic dilatation of the ejaculatory duct opening into an  enlarged prostatic utricle was reached. Transurethral unroofing of the cyst  was separately performed with a successful outcome. The characteristic of the  2 cystic dilatations was confirmed by pathologic examination. To the best of  our knowledge, this is the first case of ectopic cystic dilatation of the  ejaculatory duct opening into an enlarged prostatic utricle.
Department of Urology, BenQ Medical Center, Nanjing Medical University, Nanjing 210019, China.
Jian-Zhong
JZ
Lin
Hong-Fei
HF
Wu
Ji-Chen
JC
Wang
Mei-Zhao
MZ
Le
Hong-Bo
HB
Yu
He-Tong
HT
Zhou
D003560:Cysts / Q000000981:diagnostic imaging* / Q000601:surgery; D004543:Ejaculatory Ducts / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D051516:Hemospermia / Q000151:congenital / Q000473:pathology*; D006801:Humans; D008297:Male; D011467:Prostate / Q000000981:diagnostic imaging; D011859:Radiography; D012669:Seminal Vesicles / Q000000981:diagnostic imaging / Q000473:pathology*; D014463:Ultrasonography