Prostatic Utricle Resection by Laparoscopic Approach

Abstract

Purpose Prostatic utricle comes from an incomplete regression of the MUllerian structures. Only those that are symptomatics presenting UTI or incontinence, should be considered for surgery. We present our experience with the laparoscopic approach for prostatic utricle resection in 5 patients with a mean age of 9.5 y.o (5-16). Material and Methods The procedure begins with a cystourethroscopy and catheterization of the utricle with a Fogharty or a cystoscope, that is left inside the prostatic utricle to facilitate subsequent identification and mobilization during the procedure. Laparoscopy was conducted via a 10 mm port inserted through an umbilical incision. Two more 5 mm working ports were inserted at the right and left mid-abdomen. Resection of the utricle is done by electric monopolar cautery hook. Results In all five boys resection was satisfactory except in one case that needed open conversion due to bleeding. Mean operative time was 165 min (120-240). Conclusions Laparoscopic resection is a minimally invasive approach and cystocopy offers a good help and safe dissection of the utricule.