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Anteriorly Placed Midline Intraprostatic Cyst Resulting in Bothersome Lower Urinary Tract Symptoms: A Case Report

Prostatic cysts are rare, usually asymptomatic and detected incidentally at imaging. Midline prostatic cysts are less common and mostly located posteriorly. We describe a case of a 51-year-old man with unknown comorbidities who presented with troublesome irritative and voiding symptoms. Transabdomin...

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Autores principales: Hajji, Fouad, Benazzouz, Abderrazak, Karmouch, Yassine, Hammoune, Nabil, Ghoundale, Omar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8758126/
https://www.ncbi.nlm.nih.gov/pubmed/35047319
http://dx.doi.org/10.7759/cureus.21209
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author Hajji, Fouad
Benazzouz, Abderrazak
Karmouch, Yassine
Hammoune, Nabil
Ghoundale, Omar
author_facet Hajji, Fouad
Benazzouz, Abderrazak
Karmouch, Yassine
Hammoune, Nabil
Ghoundale, Omar
author_sort Hajji, Fouad
collection PubMed
description Prostatic cysts are rare, usually asymptomatic and detected incidentally at imaging. Midline prostatic cysts are less common and mostly located posteriorly. We describe a case of a 51-year-old man with unknown comorbidities who presented with troublesome irritative and voiding symptoms. Transabdominal and transrectal ultrasound, abdominal computed tomography and pelvic magnetic resonance imaging revealed a midline intraprostatic cyst protruding into the bladder lumen, with no communication with the urethra on voiding cystourethrography. Uroflowmetry findings suggested an obstructed flow. The patient underwent transurethral marsupialization of the cyst, which was found to project on the bladder outlet causing urinary obstruction, with excellent outcomes. What makes this case further interesting is the unusual cyst’s relationship with the patient’s prostate and bladder neck. To our best knowledge, this is so far the seventh reported case in the literature to describe an anteriorly placed midline intraprostatic cyst projecting at the bladder neck region and causing bothersome lower urinary tract symptoms.
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spelling pubmed-87581262022-01-18 Anteriorly Placed Midline Intraprostatic Cyst Resulting in Bothersome Lower Urinary Tract Symptoms: A Case Report Hajji, Fouad Benazzouz, Abderrazak Karmouch, Yassine Hammoune, Nabil Ghoundale, Omar Cureus Radiology Prostatic cysts are rare, usually asymptomatic and detected incidentally at imaging. Midline prostatic cysts are less common and mostly located posteriorly. We describe a case of a 51-year-old man with unknown comorbidities who presented with troublesome irritative and voiding symptoms. Transabdominal and transrectal ultrasound, abdominal computed tomography and pelvic magnetic resonance imaging revealed a midline intraprostatic cyst protruding into the bladder lumen, with no communication with the urethra on voiding cystourethrography. Uroflowmetry findings suggested an obstructed flow. The patient underwent transurethral marsupialization of the cyst, which was found to project on the bladder outlet causing urinary obstruction, with excellent outcomes. What makes this case further interesting is the unusual cyst’s relationship with the patient’s prostate and bladder neck. To our best knowledge, this is so far the seventh reported case in the literature to describe an anteriorly placed midline intraprostatic cyst projecting at the bladder neck region and causing bothersome lower urinary tract symptoms. Cureus 2022-01-13 /pmc/articles/PMC8758126/ /pubmed/35047319 http://dx.doi.org/10.7759/cureus.21209 Text en Copyright © 2022, Hajji et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Radiology
Hajji, Fouad
Benazzouz, Abderrazak
Karmouch, Yassine
Hammoune, Nabil
Ghoundale, Omar
Anteriorly Placed Midline Intraprostatic Cyst Resulting in Bothersome Lower Urinary Tract Symptoms: A Case Report
title Anteriorly Placed Midline Intraprostatic Cyst Resulting in Bothersome Lower Urinary Tract Symptoms: A Case Report
title_full Anteriorly Placed Midline Intraprostatic Cyst Resulting in Bothersome Lower Urinary Tract Symptoms: A Case Report
title_fullStr Anteriorly Placed Midline Intraprostatic Cyst Resulting in Bothersome Lower Urinary Tract Symptoms: A Case Report
title_full_unstemmed Anteriorly Placed Midline Intraprostatic Cyst Resulting in Bothersome Lower Urinary Tract Symptoms: A Case Report
title_short Anteriorly Placed Midline Intraprostatic Cyst Resulting in Bothersome Lower Urinary Tract Symptoms: A Case Report
title_sort anteriorly placed midline intraprostatic cyst resulting in bothersome lower urinary tract symptoms: a case report
topic Radiology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8758126/
https://www.ncbi.nlm.nih.gov/pubmed/35047319
http://dx.doi.org/10.7759/cureus.21209
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