Surgical treatment for prostatic utricle cyst in children: A single‐center report of 15 patients
Surgical treatment for prostatic utricle cyst in children: A single‐center report of 15 patients
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儿童前列腺囊肿的手术治疗：单中心15例报告
DOI：
10.1111/iju.14543
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发表时间：
2021-03
期刊：
影响因子：
--
通讯作者：
Jie Sun
中科院分区：
文献类型：
--
作者：
Li-Na Dai;Rong He;Shao-Feng Wu;Hai-Teng Zhao;Jie Sun
目的报告单中心治疗儿童前列腺囊肿的经验。方法回顾分析我科2013年10月至2020年8月收治的15例意外发现的前列腺囊肿患儿的临床资料。收集并编目临床特点和管理方法。结果复发性泌尿生殖道感染是最常见的主诉，2/3的患者还伴有尿路下裂。所有病例均可见后尿路与前列腺椭圆囊之间的连接。2例患者直接在腹腔镜下摘除进行性增大的前列腺囊肿。13名患者使用了内窥镜技术，其中两名患者因反复出现症状而接受了腹腔镜切除。随访时间2~82个月，平均34.9个月。在4名接受前列腺椭圆囊切除的患者和8名接受内窥镜治疗的患者中，没有观察到复发。3例患者在内窥镜治疗后出现复发症状，采用非手术治疗。结论前列腺卵泡囊肿是一种罕见的疾病，可引起复发性泌尿生殖道感染。应特别注意评估外生殖器异常儿童的前列腺卵圆囊囊肿。逆行尿路造影术和磁共振成像是鉴别前列腺囊肿和其他位于男性骨盆中线的囊性病变的有用工具。在考虑保留生育能力、复发和恶性时，个体化治疗是合适的。对有症状的大型前列腺囊肿行腹腔镜切除是可行的。建议对所有患有前列腺囊肿的患者进行定期长期监测。
Objectives To report our single-center experience of the management of children with prostatic utricle cysts. Methods We retrospectively analyzed 15 children who were incidentally found to have a prostatic utricle cyst and were admitted to our department between October 2013 and August 2020. Clinical characteristics and management were collected and catalogued. Results Recurrent genitourinary tract infections were the most frequent complaint, and two-thirds of patients also had hypospadias. A connection between the posterior urethra and the prostatic utricle cyst was found in all cases. Two patients directly had their progressively enlarging prostatic utricle cyst resected laparoscopically. Endoscopic techniques were used in 13 patients, two of whom underwent laparoscopic excision for repeated symptoms. The mean (range) follow-up period was 34.9 (2–82) months. No recurrences were observed in four patients who underwent prostatic utricle cyst excision and eight patients who received endoscopic treatment. Three patients had recurrent symptoms after endoscopic treatment and were managed by nonsurgical treatment. Conclusions Prostatic utricle cyst is a rare disease which can cause recurrent genitourinary tract infections. Extra attention should be paid to evaluation for prostatic utricle cyst in children with external genital anomalies. Retrograde urethrogram and magnetic resonance imaging are useful tools with which to distinguish prostatic utricle cyst from other cystic lesions that are located in the midline pelvis in male patients. Individualized treatment is appropriate when considering fertility preservation, recurrences and malignancy. Laparoscopic excision is feasible for symptomatic and large prostatic utricle cyst. Regular long-term monitoring is recommended for all patients with prostatic utricle cyst.
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