Lithiasis in prostate utricle
a case of infertility
Keywords:
Azoospermia , Müllerian duct, lnfertility, Lithiasis, Health and utricleAbstract
Prostatic utricle cyst is a structure remaining from the Müllerian duct, resulting from the incomplete regression of these structures during the development of the embryo. The incidence varies from 1 to 5% in the general population and up to 20% of the patients complain of hematospermia, which could be associated with a urinary infection, pain and urinary urge incontinence, palpable abdominal mass and epididymitis. The diagnosis is based on physical examination and transrectal ultrasonography, and complemented with a cystourethrography. Magnetic resonance imaging may also be used. Most of the time treatment consists of endourologic procedures, with marsupialization of the cyst.
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References
Warmann SW, Vogel M, Artlich A, Pereira P, Fuchs J, Wehrmann M. Giant mullerian cyst with malignant transformation in 15-year-old boy. Urology. 2006; 67(2):424 e 3-424.e 6.
Coppens L, Bonnet P, Andrianne R, Levei J. Adult müllerian duct or utricle cyst: clinicai significance and therapeutic management of 65 cases. J Urol. 2002; 167(4):1740-3.
Schuhrke, TD, Kaplan GW. Prostatic utricle cysts müllerian duct cysts. J Urol. 1978; 119(13):765-7.
Garcia NR, Gonzalez FI, Pascual MC, Castro EG, Garcia TAM, Sanches AB. Hemospermia and mullerian duct cyst. Arch Esp Urol. 2005; 58(10):1061-4.
Johal NS, Kraklau D, Deniz K, Mushtaq 1. An unusual case of a prenatally detected large mullerian duct remmant. Pediatr Surg lnt. 2005; 21(9) 764-6.
Noon A, Adeyoju AAB, Lynch N. Urinary retention and obstructive nephropathy secondary to mullerian duct cyst in adult. Urology. 2005; 65(3):587-8.
Agrawal V, Rickards D, Ralph DJ. Ejaculatory pain as a result of inflatable penile prosthesis reservoir compressing a seminalvesicle. Urology. 2006; 64(4): 4-5.
Kato H, Furuya S. Mullerian duct remnant involving system: a case report. lnt J Urol. 2005; 12(5):456-8
Furuya S, Masumori N, Tsukamoto T, lsomura H, Tamakawa M. Characterization of localizated seminal vesicle amyloidosid causing hemospermia: an analysis using immunohistochemistry and magnetic resonance imaging. J Urol. 2005; 173(4) 1273-7.
Prando A. Endorectal magnetic resonance imaging in persistent hemospermia. lnt Braz J Urol. 2008; 34(2) 171-9.
Willets IE, Roberts JP, MacKinnon AE. Laparoscopic excision of a prostatic utricle in a child. Pediatr Surg lnt. 2003; 19(7):557-8.