A prostate utricle cyst as a cause of haematospermia in a young adult: a case report
Keywords:
prostate utricle cyst, genitourinary imaging, ultrasound, magnetic resonance imaging, case reportAbstract
Background and aim: Prostatic utricle cyst is an embryological remnant of the Muller duct system, resulting from an incomplete regression of these structures during embryological development. Most of the time such congenital alteration is asymptomatic, but may sometimes present with various signs and symptoms, from urinary tract infections to episodes of haematospermia in a small percentage of cases.
Methods: We reported the case of a 42-years-old man who suffered from recurrent episodes of haematospermia for about 20 years; the instrumental examinations, first of all TRUS and then MRI evaluation, demonstrated the presence of a cystic formation, located in the posterior median site of the prostate closely to the prostatic urethra.
Results: The cytological examination on the liquid taken by transperineal US-guided fine-needle aspiration, confirmed the presence of seminal fluid and normal prostatic tissue consistent with the diagnostic hypothesis of prostatic utricle cyst.
Conclusions: It’s important to recognize the imaging characteristics of the prostatic utricle cyst since it may be one of the possible benign causes of hematospermia in the young adult subject.
References
McDermott, V. G., Meakem, T. J., 3rd, Stolpen, A. H., & Schnall, M. D. (1995). Prostatic and periprostatic cysts: findings on MR imaging. AJR. American journal of roentgenology, 164(1), 123–127. https://doi.org/10.2214/ajr.164.1.7998524
Curran, S., Akin, O., Agildere, A. M., Zhang, J., Hricak, H., & Rademaker, J. (2007). Endorectal MRI of prostatic and periprostatic cystic lesions and their mimics. AJR. American journal of roentgenology, 188(5), 1373–1379. https://doi.org/10.2214/AJR.06.0759
Shebel, H. M., Farg, H. M., Kolokythas, O., & El-Diasty, T. (2013). Cysts of the lower male genitourinary tract: embryologic and anatomic considerations and differential diagnosis. Radiographics : a review publication of the Radiological Society of North America, Inc, 33(4), 1125–1143. https://doi.org/10.1148/rg.334125129
Lima M, Maffi M, Di Salvo N, Ruggeri G, Libri M, Gargano T, Lardy H. Robotic removal of Müllerian duct remnants in pediatric patients: our experience and a review of the literature. Pediatr Med Chir. 2018;40(1).
Liu B, He D, Zhang D, Liu X, Lin T, Wei G. Prostatic utricles without external genital anomalies in children: our experience, literature review, and pooling analysis. BMC Urol. 2019;19(1):21. Published 2019 Apr 3. doi:10.1186/s12894-019-0450-z
Downloads
Published
Issue
Section
License
Copyright (c) 2022 Umberto Tupputi, Francesca Anna Carpagnano, Laura Eusebi, Manuel Di Biase, Aldo Cammarota, Giuseppe Guglielmi
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Transfer of Copyright and Permission to Reproduce Parts of Published Papers.
Authors retain the copyright for their published work. No formal permission will be required to reproduce parts (tables or illustrations) of published papers, provided the source is quoted appropriately and reproduction has no commercial intent. Reproductions with commercial intent will require written permission and payment of royalties.
How to Cite
