PMC2684240_01
(A) Abdominal ultrasound, (B) VCUG and (C) TRUS image of midline prostatic cyst
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Initial evaluation included a urine microscopic analysis and culture, uroflowmetry and a screening abdominal ultrasonography which documented the presence of a prostatic cyst [Figure 1a]. TRUS [Figure 1c] was done in all cases, while a contrast enhanced CT scan was performed in one case (Case 3) to evaluate the perinephric abscess. This patient was initially managed with antibiotic therapy and pig-tail drainage of the abscess. Retrograde urethrogram (RGU) and voiding cystourethrogram (VCUG) performed in all cases did not reveal any communication with the prostatic cyst excluding the diagnosis of an enlarged utricular cyst [Figure 1b].
Endoscopic marsupialization of (A) anterior and (B) posterior midline prostatic cyst
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All patients underwent cystoscopy and transurethral incision of the prostatic cyst [Figure 2]; Case 4 additionally underwent a transurethral incision of the left ejaculatory duct (TURED).