Abstract
Surgical extirpation is the treatment of choice for symptomatic müllerian duct remnants (prostatic utricle, PU), and several surgical approaches have been described for the treatment of this pathology. A group of 11 patients with symptomatic PU were observed and treated. Associated anomalies included proximal or penoscrotal hypospadias in all patients and cryptorchidism in 9 (81.8%). In all cases the PU needed surgical correction, as the patients had recurring symptomatology. Surgery was carried out transvesically in 10 (91%) cases and in 1 a perineal approach was used. There were no surgical complications, and at follow-up all patients showed complete resolution of the symptoms. We believe the transvesical approach, compared to other techniques, is more advantageous in the treatment of this pathology, as it permits excellent exposure, ease of surgery, good reconstruction, and good functional results with no sequelae.
Similar content being viewed by others
References
Allen TD (1985) Disorders of sexual differentiation. In: Kelalis P, King L, Belman A (eds) Clinical pediatric urology, 2nd edn. Saunders, Philadelphia, pp 904–921
Belloli G, Campobasso P, Musi L, Frigiola A, Sartori F (1974) Sulla cisti utricolare net bambino. A proposito di 2 casi. Min Pediatr 26: 480–485
Brok WA, Siegel JF, Rich MA, Pena A (1993) Transrectal posterior sagittal approach to müllerian duct remnants. J Urol 149: 297A
Deming CL, Berneike RR (1944) Müllerian duct cyst. J Urol 51: 563–567
Devine C, Gonzales-Serva L, Steckers J, Devine P, Horton C (1980) Utricular configuration hypospadias and intersex. J Urol 123: 407–411
Domini R, Rossi F, Ceccarelli PL, De Castro R (1995) L'Approccio sagittale transanorettale anteriore nelle malformazioni genito-urinarie complesse del maschio. Eleventh Congresso Nazionale delta Societa' Italiana di Urologia Pediatrica, Trento, May 1993
Glenister TW (1962) The development of the utricle and the so-called “middle” or “median” lobe of the human prostate. J Anat 96: 443–447
Gray SW, Skandalakis JE (1972) The male reproductive tract. In: Embryology for surgeons 2nd edn. Saunders, Philadelphia, pp 595–626
Hassler RD, Webber H Jr (1978) Oligospermia secondary to müllerian duct cyst. Simple surgical cure. Urology 11: 386–391
Howard J (1948) Hypospadias with enlargement of the prostatic utricle. J Surg Gynecol 86: 307–311
Ikoma F, Shima H, Yabumoto, Mori Y (1986) Surgical treatment for enlarged prostatic utricle and vagina masculina in patiens with hypospadias. Br J Urol 58: 423–428
Melicow M, Tannenbaum J (1971) Endometrial carcinoma of uterus masculinus (prostatic utricle). Report of 6 cases. J Urol 106: 892–902
Monfort G (1982) Transvesical approach to utricular cyst. J Pediatr Surg 17: 406–409
Morgan RJ, Williams DI, Pryar JP (1979) Müllerian duct remmants in the male. Br J Urol 51: 488–492
Myers HG, Lynn HB, Kelalis PP (1969) Giant cyst of the utricle. J Urol 101: 369–373
Narasimha Y, Winter CC (1972) Cyst of the seminal vesicle: a case report and review of the literature. J Urol 108: 134–135
Prakash A (1975) Multilocular cystadenofibroma of müllerian duct. J Urol 114: 653–654
Schurke T, Kaplan G (1978) Prostatic utricle cyst (müllerian duct cyst). J Urol 119: 765–769
Spence HM, Chenoweth WC (1958) Cyst of the prostatic utricle: report of two cases cured by retropubic operation. J Urol 79: 308–312
Young BW, Lagios MD (1973) Endometrial (papillary) carcinoma of the prostatic utricle: response to orchiectomy. A case report. Cancer 32: 1293–1298
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Di Benedetto, V., Bagnara, V., Guys, J.M. et al. A transvesical approach to mullerian duct remnants. Pediatr Surg Int 12, 151–154 (1997). https://doi.org/10.1007/BF01349986
Issue Date:
DOI: https://doi.org/10.1007/BF01349986