Prostatic utricle cyst – a case report and review of current literature

Abstract

We present a 23 year old mentally challenged male with hypospadias who presented with haematuria. Digital rectal examination revealed a large firm non-tender midline swelling whose upper limit could not be reached, palpable just above the prostate. CT scan showed a homogenously hypodense thick walled cystic lesion in the region of prostate, enhancing with contrast. Cystoscopy revealed a small opening at the summit of verumontanum in the midline. Intra-operatively, the thick walled hollow cavity was found in the retro-vesical region, adherent to the prostate and right seminal vesicle.Histopathological examination done showed that the wall of a cavitary lesion was lined by inflammatory granulation tissue suggestive of a prostatic utricle cyst. Enlarged prostatic utricles are commonly seen in patients with hypospadias, cryptorchidism and intersex. The posterior sagittal rectum-retracting approach has been described as one of the most suitable approaches for the surgical management of this condition.