Park Jiyoung, Won Heungseok, Park Gyeong Gook, Jeong Hee Jun, Moon Changhwan, Jeong Jaemin, Lee Hae-Beom, Kim Dae-Hyun, Jeong Seong Mok
Department of Veterinary Surgery, College of Veterinary Medicine, Chungnam National University, Daejeon, Republic of Korea.
Armed Forces Medical Research Institute, Daejeon, Republic of Korea.
Front Vet Sci. 2024 Apr 8;11:1270819. doi: 10.3389/fvets.2024.1270819. eCollection 2024.
Two intact male dogs were evaluated for symptoms, including hematuria, prostatomegaly, anuria, lethargy, and abdominal mass. Presurgical evaluations, including complete physical examinations, blood examinations, abdominal radiography with contrast (only in Case 2), ultrasonography, and computed tomography and magnetic resonance imaging (only in Case 1), were performed. A paraprostatic cyst was diagnosed initially, and laparoscopic exploration and surgery were performed. Complete resection was performed in case 1, whereas partial resection with omentalization was performed in case 2. Histopathological examination of the tissue samples confirmed the presence of paraprostatic pseudocysts in both cases, with no evidence of an epithelial lining. These two cases represent the first documented instances of laparoscopic treatment for extraparenchymal prostatic cysts. The laparoscopic treatment proved feasible even in the case of a giant cyst causing anuria (Case 2). Paraprostatic cysts should be considered a potential differential diagnosis for abnormal urination accompanied by an abdominal mass, and long-term postoperative follow-up is necessary.
对两只成年雄性犬进行了症状评估,包括血尿、前列腺肿大、无尿、嗜睡和腹部肿块。进行了术前评估,包括全面体格检查、血液检查、腹部造影X线摄影(仅病例2)、超声检查以及计算机断层扫描和磁共振成像(仅病例1)。最初诊断为前列腺旁囊肿,并进行了腹腔镜探查和手术。病例1进行了完整切除,而病例2进行了带网膜植入的部分切除。组织样本的组织病理学检查证实两例均存在前列腺旁假性囊肿,无上皮内衬证据。这两个病例代表了腹腔镜治疗实质外前列腺囊肿的首例文献记载病例。即使在巨大囊肿导致无尿的情况下(病例2),腹腔镜治疗也被证明是可行的。前列腺旁囊肿应被视为伴有腹部肿块的排尿异常的潜在鉴别诊断,术后需要长期随访。