Abstract
A prostatic utricle cyst is an epithelial lined diverticulum arising from the prostatic urethra and usually asymptomatic when small. When enlarged, it may be symptomatic and is typically accompanied by hypospadias. We present a case of a markedly enlarged prostatic utricle in a neonate without hypospadias, demonstrated on voiding cystourethrography (VCUG), ultrasound, and 1.5 Tesla MRI.
Highlights
Prostatic utricle cysts are believed to represent the incomplete regression of Mullerian ducts
The case presented is unique in that (1) the prostatic utricle was markedly enlarged, (2) detection has seldom been made with MRI, and (3) the presence of an enlarged prostatic utricle was without associated hypospadias
Prostatic utricle cysts are generally believed to represent the incomplete regression of the Mullerian ducts
Summary
Prostatic utricle cysts are believed to represent the incomplete regression of Mullerian ducts. They are commonly diagnosed during childhood as there is an association with hypospadias, pseudohermaphroditism/intersex disorders, and cryptorchidism. Prostatic utricles are often incidentally found on VCUG or sonography. The case presented is unique in that (1) the prostatic utricle was markedly enlarged, (2) detection has seldom been made with MRI, and (3) the presence of an enlarged prostatic utricle was without associated hypospadias
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