Transrectal ultrasound-guided puncture, drainage, and minocycline hydrochloride sclerotherapy for the symptomatic prostatic cyst.

PURPOSE

We treated three patients who had symptomatic prostatic cysts by transrectal ultrasound-guided puncture, drainage, and sclerotherapy. The procedure and the results are described in this report.

MATERIALS AND METHODS

The patients were 60, 73, and 78 years old and complained of difficult voiding. With local anesthesia, transrectal ultrasound-guided puncture and drainage were performed, and then 100 mg of minocycline hydrochloride was infused into the cavity of the cyst. We evaluated the International Prostate Symptom Score (IPSS), urodynamic data, volume of residual urine, complications, and recurrence.

RESULTS

There were no complications, and improvements of voiding symptoms were experienced without any recurrences within the 2 years or more of follow-up.

CONCLUSION

This minimally invasive treatment by transrectal ultrasound-guided puncture, drainage, and minocycline hydrochloride sclerotherapy is suggested to be promising for the symptomatic prostatic cyst.