PMID: 11912400Mar 26, 2002Paper

Adult müllerian duct or utricle cyst: clinical significance and therapeutic management of 65 cases

The Journal of Urology
Luc CoppensJean de Leval

Abstract

We define guidelines for the exploration and treatment of adult müllerian duct cysts. From January 1988 through September 1999 a diagnosis of enlarged prostatic utricle was made in 65 adults based on transrectal ultrasound findings. Echographic criteria to define simple versus complicated cysts were detailed. We reviewed the clinical presentation, diagnostic modalities, indications for invasive procedures and postoperative outcome. The usual clinical presentations were hematospermia in 40% of cases, other ejaculatory disturbances in 20%, recurrent testicular or pelviperineal pain in 33%, lower urinary tract irritation symptoms in 25%, lower urinary tract infection in 18.5%, male infertility in 12% and incidental finding in 18.5%. Cyst dimensions did not influence the indication for invasive procedures, which were performed in only 27 of the 65 patients (41.5%) to treat disabling symptoms in 28% and obstructive infertility in 5%, and investigate complicated cysts on transrectal ultrasound in 6%. These procedures included transperineal or transrectal puncture in 9 patients, simple endoscopic section of the utricle meatus in 12 and large marsupialisation in 6. Complete and sustained cure was noted in half of the patients treated w...Continue Reading

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Citations

Jun 28, 2006·Abdominal Imaging·D A Torigian, P Ramchandani
Sep 1, 2005·Pediatric Surgery International·N S JohalI Mushtaq
Sep 1, 2005·Pediatric Surgery International·Toshihiro YanaiTakeshi Miyano
Jun 20, 2008·International Urology and Nephrology·Dean E Leocádio, Barry S Stein
Oct 12, 2012·Frontiers of Medicine·Xianghu MengZhangqun Ye
Jun 10, 2005·Annals of Diagnostic Pathology·Gabriela GualcoFernando Cravioto
Jul 6, 2014·Der Urologe. Ausg. A·J ThieleJ Scheibe
Aug 19, 2014·Case Reports in Radiology·Dustin JohnsonWinnie Mar
Nov 22, 2008·Urology·Jun-Hang LuoJian Lu
Jun 24, 2015·Case Reports in Urology·Mehmet KilincAbdulkadir Kandemir
Aug 12, 2005·The Journal of Urology·Seiji Furuya, Haruaki Kato
Jan 10, 2017·Urology·Anil Kumar NallabothulaVijayalakshmi Devi Bodagala
Feb 13, 2018·Case Reports in Urology·Grégoire FeutrySteve P Martin
Mar 26, 2014·Urologia·Matteo MorettiAntonio Frattini
Jan 26, 2018·International Braz J Urol : Official Journal of the Brazilian Society of Urology·Vikash KumarSharad Sagade
Jul 24, 2012·The Journal of Urology·Raman UnnikrishnanEdmund Sabanegh

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