Introduction:
Prostatic cysts are uncommon and usually asymptomatic. In most cases, these cysts are found incidentally by imaging. In some cases, these cysts can be symptomatic and missed for years.
Case report:
We report the case of a 36-year-old male patient presented with a 3-year history of weak urine stream, dysuria, frequency and urgency. Ultrasound, computed tomography and magnetic resonance imaging demonstrated a prostatic cyst measuring 1.5*1.2 cm occupying the bladder outlet and causing obstruction. Transverse incision of the cyst provided a satisfactory resolution of the patient's complaint.
Conclusion:
Incision of a symptomatic midline anterior prostatic cyst is a safe and effective management option with no potential risk of retrograde ejaculation.