[Cyst of the prostatic utricle: report of a case complicated by giant lithiasis].
[Cyst of the prostatic utricle: report of a case complicated by giant lithiasis].
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DOI：
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发表时间：
2002
影响因子：
0.5
通讯作者：
J. Valdevenito;R. Valdevenito;M. Cuevas;A. Espinoza;J. Guerra
中科院分区：
文献类型：
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作者：
J. Valdevenito;R. Valdevenito;M. Cuevas;A. Espinoza;J. Guerra
目的报告1例前列腺椭圆囊囊肿合并巨大结石的病例。方法/结果：一名42岁男性，在婴儿期有双侧隐睾和尿道下裂手术史，表现为初始和终末血尿，直肠指检显示直肠前壁岩石状、光滑的扩大。前列腺特异性抗原正常。经直肠和经腹超声显示膀胱后大面积钙化，静脉肾盂造影显示上尿路正常。患者接受了耻骨上腹膜外途径的完全切除术，无并发症。病理检查发现一个长约10公分的摄护腺囊囊肿合并结石。结论前列腺椭圆囊囊肿临床少见，常与睾丸下降畸形和尿道下裂有关。它们的鉴别诊断很困难，治疗指征取决于表现出的症状、大小和并发症。
OBJECTIVE We report a case of prostatic utricle cyst complicated with giant lithiasis. METHOD/RESULTS A 42 year old man with history of surgery for bilateral cryptorchidism and hypospadias in his infancy, presented with initial and terminal hematuria and a digital rectal examination showing a rocky, smooth enlargement of the anterior rectal wall. Prostatic specific antigen was normal. Transrectal and transabdominal ultrasound showed a large retrovesical calcification and intravenous pyelogram showed normality of the upper urinary tract. The patient underwent a complete resection through a suprapubic extraperitoneal approach without complications. Histopathology revealed a 10 cm long prostatic utricle cyst complicated with lithiasis. CONCLUSIONS The prostatic utricle cysts are rare in clinical practice and associate with anomalies of testicular descent and hypospadias. They have a difficult differential diagnosis and indication for treatment depends on presenting symptoms, size and complications.