Müllerian duct cyst. Report of a case and review of the literature.

Stranguria in a 35-year-old man was caused by an orange-sized cyst of the Müllerian duct. The case is reported and the literature is reviewed. The most reliable diagnostic method is cystoscopic tubulation through the prostatic utricle. The simplest form of treatment is subsequent evacuation of the cyst through the tube. Alternatively, marsupialization of the posterior cyst wall at laparotomy is preferable to attempted extirpation, which is always difficult and usually gives rise to complications.