Table 1 Characteristics of prostatic utricles with normal external genitalia
Case No.- Pt. Age | Symptoms | Physical examination | Diagnostic procedure | Associated anomalies | Treatment performed |
|---|---|---|---|---|---|
1 - 10 m | Recurrent purulent urethral discharge, recurrent UTI | Cystic rectal mass | Ultrasound, VCUG, MRI | None | Utricle catheterization and aspiration |
2 - 15y | Acute urinary retention | Cystic rectal mass | Ultrasound, VCUG, CT | None | Utricle catheterization and aspiration |
3 - 8 m | Recurring epididymitis | Cystic rectal mass | Ultrasound, VCUG, CT, MRI | None | Laparoscopic excision |
4–4 1/2y | Difficulty voiding, low abdominal pain | Normal | Cystogram, cystoscope, | None | Retropubic, open operation |
5 - 2 m | UTI | Normal | Ultrasound, VCUG, cystoscopy | Left renal agenesis, congenital obstructive posterior urethral membrane | Antimicrobial treatment |
6 - 3y | UTI | Normal | IVP, cystoscopy, RUG | Left renal agenesis | Antimicrobial treatment |
7 - 4y | UTI | Low abdominal mass | Ultrasound, urethroscopy, | None | Retrovesical, open operation |
8 - 9y | Frequency, dribbling stream, daytime wetting, post-void fullness | Cystic rectal mass | VCUG | Vesicoureteral reflux | Posterior transsacral, open operation |
9 - 10 m | Pyuria and fever | Cystic rectal mass, pus discharge on pressure | Ultrasound, cystoscopy | None | Transvesical, open operation |
10 - 7y | Recurring epididymitis | Normal | Ultrasound, IVP, VCUG, RUG, cystoscope | Right renal agenesis | Transvesical, open operation |
11 - 4y | Penile pain, low grade fever, urinary frequency, recurrent UTI | Mid swelling in the right testis, reproducible tenderness in the suprapubic area | Ultrasound, VCUG | None | Transvesical, open operation |
12 - 16y | Intermittent, nonpainful, gross hematuria | Cystic rectal mass | CT, urethrocystoscopy | Right renal agenesis | Open operation |
13 - 10y | Acute urinary retention | Distended urinary bladder | MRI, TRUS | None | TRUS guided aspiration |
14 - 3y | Fever, lower abdominal pain, dysuria, acute urinary retention | Cystic rectal mass | MRI, cystoscopy | None | Laparoscopic excision |
15 - 18 m | Recurrent UTI | Normal | RUG, cystoscope | Right renal agenesis | Laparoscopic excision |
16 - 6 m | Retention and poor stream of urine | Palpable bladder | Ultrasound, VCUG | None | Posterior sagittal rectum retracting approach, open operation |
17 - 6 m | Persistent purulent urethral discharge, recurrent UTI | Normal | Ultrasound, RUG, urethrocystoscopy | Right renal agenesis | Endoscopic utricle orifice incision |
18 - 15y | Recurrent episodes of hematospermia | Normal | TRUS, MRI with an endorectal coil | None | Non-surgical approach |
19 - 16y | Recurrent UTI, scrotal pain, low-grade fever, urinary frequency | Retrovesical mass | Ultrasound, MRI | None | Suprapubic extraperitoneal, open operation |
20–1 1/2y | Recurrent epididymitis | Enlarged left-sided scrotal swelling | Ultrasound, CT, barium enema, RUG | None | Suprapubic extravesical and extraperitoneal, open operation |
21 - 8y | Painful micturition, fever, progressive increasing abdominal girth | Cystic pelvic mass | CT | Left renal agenesis | laparotomy |
22 - 6y | Urinary incontinence | Normal | Ultrasound, VCUG, MRI | None | Robot-assisted laparoscopy |