Cystoscopic Management of Prostatic Utricles

In this case series (n = 7) on prostatic utricles (PU), retention of urine was seen in 5 of 7, urinary tract infection (4 of 7), recurrent epidydymo-orchitis (3 of 7), and scrotal sinus (1 of 7). Voiding cystourethrogram established diagnosis in 3 of 7 patients while CT/MRI in 4 of 7 patients. Four...

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Veröffentlicht in:	Urology (Ridgewood, N.J.) N.J.), 2021-03, Vol.149, p.e52-e55
Hauptverfasser:	Babu, Ramesh, Chandrasekharam, VVS
Format:	Artikel
Sprache:	eng
Schlagworte:	Child Child, Preschool Cystoscopy Genital Diseases, Male - surgery Humans Infant Male Mullerian Ducts - abnormalities Prostate - abnormalities Retrospective Studies Urologic Diseases - surgery Urologic Surgical Procedures, Male - methods
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creator	Babu, Ramesh Chandrasekharam, VVS
description	In this case series (n = 7) on prostatic utricles (PU), retention of urine was seen in 5 of 7, urinary tract infection (4 of 7), recurrent epidydymo-orchitis (3 of 7), and scrotal sinus (1 of 7). Voiding cystourethrogram established diagnosis in 3 of 7 patients while CT/MRI in 4 of 7 patients. Four patients were primarily managed by cystoscopic widening of mouth of PU. Three with large PU underwent initial open (2) or laparoscopic (1) excision but later warranted cystoscopic widening for residual PU. Excision (open/laparoscopic) has risk of damage to adjacent structures (nerves/vas/seminal vesicles) or leaving behind a residual PU. Cystoscopic management (primary/salvage) has less morbidity and relieves recurrent symptoms due to stasis of urine in PU.
doi_str_mv	10.1016/j.urology.2020.09.005
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Voiding cystourethrogram established diagnosis in 3 of 7 patients while CT/MRI in 4 of 7 patients. Four patients were primarily managed by cystoscopic widening of mouth of PU. Three with large PU underwent initial open (2) or laparoscopic (1) excision but later warranted cystoscopic widening for residual PU. Excision (open/laparoscopic) has risk of damage to adjacent structures (nerves/vas/seminal vesicles) or leaving behind a residual PU. 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Cystoscopic management (primary/salvage) has less morbidity and relieves recurrent symptoms due to stasis of urine in PU.</description><subject>Child</subject><subject>Child, Preschool</subject><subject>Cystoscopy</subject><subject>Genital Diseases, Male - surgery</subject><subject>Humans</subject><subject>Infant</subject><subject>Male</subject><subject>Mullerian Ducts - abnormalities</subject><subject>Prostate - abnormalities</subject><subject>Retrospective Studies</subject><subject>Urologic Diseases - surgery</subject><subject>Urologic Surgical Procedures, Male - methods</subject><issn>0090-4295</issn><issn>1527-9995</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkE1Lw0AQhhdRtFZ_gtKjBxMn-5k9iRS_oKIHe142m0lJSbJ1NxH6701p9eplBob3nXfmIeQqgzSDTN6t0yH4xq-2KQUKKegUQByRSSaoSrTW4phMADQknGpxRs5jXAOAlFKdkjNGNddCsAm5nW9j76Pzm9rN3mxnV9hi1898NfsIPva2H-fLPtSuwXhBTirbRLw89ClZPj1-zl-Sxfvz6_xhkTgmRZ9USlUKhEImaEkrKcqCI5c2l1leOqdUVgFXVlunGVY5ZTlIZEXBGZYZz5FNyc1-7yb4rwFjb9o6Omwa26EfoqGcc5aPBUap2EvdeG0MWJlNqFsbtiYDswNl1uYAyuxAGdBmBDX6rg8RQ9Fi-ef6JTMK7vcCHB_9rjGY6GrsHJZ1QNeb0tf_RPwAhgJ75Q</recordid><startdate>202103</startdate><enddate>202103</enddate><creator>Babu, Ramesh</creator><creator>Chandrasekharam, VVS</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>202103</creationdate><title>Cystoscopic Management of Prostatic Utricles</title><author>Babu, Ramesh ; Chandrasekharam, VVS</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c365t-f77f7057e352d2f65db4e46a8618dcc771f047a9ac93ef823806e3bb43ed148e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Child</topic><topic>Child, Preschool</topic><topic>Cystoscopy</topic><topic>Genital Diseases, Male - surgery</topic><topic>Humans</topic><topic>Infant</topic><topic>Male</topic><topic>Mullerian Ducts - abnormalities</topic><topic>Prostate - abnormalities</topic><topic>Retrospective Studies</topic><topic>Urologic Diseases - surgery</topic><topic>Urologic Surgical Procedures, Male - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Babu, Ramesh</creatorcontrib><creatorcontrib>Chandrasekharam, VVS</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Urology (Ridgewood, N.J.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Babu, Ramesh</au><au>Chandrasekharam, VVS</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cystoscopic Management of Prostatic Utricles</atitle><jtitle>Urology (Ridgewood, N.J.)</jtitle><addtitle>Urology</addtitle><date>2021-03</date><risdate>2021</risdate><volume>149</volume><spage>e52</spage><epage>e55</epage><pages>e52-e55</pages><issn>0090-4295</issn><eissn>1527-9995</eissn><abstract>In this case series (n = 7) on prostatic utricles (PU), retention of urine was seen in 5 of 7, urinary tract infection (4 of 7), recurrent epidydymo-orchitis (3 of 7), and scrotal sinus (1 of 7). 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subjects	Child Child, Preschool Cystoscopy Genital Diseases, Male - surgery Humans Infant Male Mullerian Ducts - abnormalities Prostate - abnormalities Retrospective Studies Urologic Diseases - surgery Urologic Surgical Procedures, Male - methods
title	Cystoscopic Management of Prostatic Utricles
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