Kanna Elisavet, Lamprinou Zoi, Spinos Theodoros, Sfakiotaki Rodanthi, Skondras Ioannis
2nd Pediatric Surgery Department, Panagiotis & Aglaia Kyriakou Childrens' Hospital, Athens, GRC.
Urology, General University Hospital of Patras, Patras, GRC.
Cureus. 2024 Oct 19;16(10):e71826. doi: 10.7759/cureus.71826. eCollection 2024 Oct.
The prostatic utricle, also known as the utricle of the prostate or Müllerian duct cyst, is a small blind-ended tubular structure found within the prostate gland of some males. In this work, we report the case of a 15-month-old boy, with a history of recurrent epididymitis, presenting with new-onset left scrotal swelling and pain. On cystourethrogram, the patient had an enlarged prostatic utricle (EPU). A successful minimally invasive (laparoscopic) approach for the total excision of the prostatic utricle cyst was performed, while injury of the vas deferens was avoided. Identification and secure dissection of the utricle remnant were aided by the presence of a ureteric stent inside the utricle orifice. The patient had an uneventful postoperative course and remains asymptomatic up to now.
前列腺囊，也称为前列腺小囊或苗勒管囊肿，是在一些男性前列腺内发现的一个小的盲端管状结构。在本研究中，我们报告了一名15个月大男孩的病例，该男孩有复发性附睾炎病史，现出现新发的左侧阴囊肿胀和疼痛。在膀胱尿道造影检查中，该患者有前列腺囊增大（EPU）。我们成功地采用了微创（腹腔镜）方法对前列腺囊囊肿进行了完全切除，同时避免了输精管损伤。前列腺囊开口内放置的输尿管支架有助于识别和安全分离前列腺囊残余部分。患者术后恢复顺利，至今仍无症状。
