Cargando…

Robotic management of a large mullerian duct cyst: a case report and review of surgical options

INTRODUCTION: Mullerian duct cysts (MDCs) are a rare diagnosis in adulthood, primarily found in men aged 20 to 40 due to reproductive or urinary symptoms. Asymptomatic patients are generally observed. Treatment of symptomatic patients varies widely based on the presentation. Small cysts can be treat...

Descripción completa

Detalles Bibliográficos
Autores principales: Able, Corey, Srinivasan, Aditya, Alzweri, Laith
Formato: Online Artículo Texto
Lenguaje:English
Publicado: AME Publishing Company 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9547162/
https://www.ncbi.nlm.nih.gov/pubmed/36217396
http://dx.doi.org/10.21037/tau-22-216
_version_ 1784805202103107584
author Able, Corey
Srinivasan, Aditya
Alzweri, Laith
author_facet Able, Corey
Srinivasan, Aditya
Alzweri, Laith
author_sort Able, Corey
collection PubMed
description INTRODUCTION: Mullerian duct cysts (MDCs) are a rare diagnosis in adulthood, primarily found in men aged 20 to 40 due to reproductive or urinary symptoms. Asymptomatic patients are generally observed. Treatment of symptomatic patients varies widely based on the presentation. Small cysts can be treated with transurethral and percutaneous methods due to a lower risk of damage to surrounding structures. However, larger and more complicated cysts are often treated using open or laparoscopic approaches. CASE DESCRIPTION: Our case presents a 38-year-old male with worsening obstructive lower urinary tract symptoms and recurrent episodes of acute urinary retention. Preliminary diagnosis of a MDC was made using CT and MRI. After failing initial minimally invasive therapy, the patient was treated with definitive robotic-assisted laparoscopic surgical excision of the cyst. At the one-month follow-up, the patient reported no complications and resolution of symptoms. As shown by this case, robotic surgical methods may be used as a more precise approach, reducing the risk of damage to vessels, nerves, and structures within the abdomen and pelvis. CONCLUSIONS: Asymptomatic patients can be observed. Treatment of symptomatic patients varies widely based on the presentation. Small cysts can be treated with transurethral and percutaneous methods due to a lower risk of damage to surrounding structures. Larger, more complicated cysts are often treated using open, laparoscopic, or robotic surgical methods. More precise approaches, including robotic methods, can reduce the risk of damage to vessels, nerves, and structures within the abdomen and pelvis.
format Online
Article
Text
id pubmed-9547162
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher AME Publishing Company
record_format MEDLINE/PubMed
spelling pubmed-95471622022-10-09 Robotic management of a large mullerian duct cyst: a case report and review of surgical options Able, Corey Srinivasan, Aditya Alzweri, Laith Transl Androl Urol Case Report INTRODUCTION: Mullerian duct cysts (MDCs) are a rare diagnosis in adulthood, primarily found in men aged 20 to 40 due to reproductive or urinary symptoms. Asymptomatic patients are generally observed. Treatment of symptomatic patients varies widely based on the presentation. Small cysts can be treated with transurethral and percutaneous methods due to a lower risk of damage to surrounding structures. However, larger and more complicated cysts are often treated using open or laparoscopic approaches. CASE DESCRIPTION: Our case presents a 38-year-old male with worsening obstructive lower urinary tract symptoms and recurrent episodes of acute urinary retention. Preliminary diagnosis of a MDC was made using CT and MRI. After failing initial minimally invasive therapy, the patient was treated with definitive robotic-assisted laparoscopic surgical excision of the cyst. At the one-month follow-up, the patient reported no complications and resolution of symptoms. As shown by this case, robotic surgical methods may be used as a more precise approach, reducing the risk of damage to vessels, nerves, and structures within the abdomen and pelvis. CONCLUSIONS: Asymptomatic patients can be observed. Treatment of symptomatic patients varies widely based on the presentation. Small cysts can be treated with transurethral and percutaneous methods due to a lower risk of damage to surrounding structures. Larger, more complicated cysts are often treated using open, laparoscopic, or robotic surgical methods. More precise approaches, including robotic methods, can reduce the risk of damage to vessels, nerves, and structures within the abdomen and pelvis. AME Publishing Company 2022-09 /pmc/articles/PMC9547162/ /pubmed/36217396 http://dx.doi.org/10.21037/tau-22-216 Text en 2022 Translational Andrology and Urology. All rights reserved. https://creativecommons.org/licenses/by-nc-nd/4.0/Open Access Statement: This is an Open Access article distributed in accordance with the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International License (CC BY-NC-ND 4.0), which permits the non-commercial replication and distribution of the article with the strict proviso that no changes or edits are made and the original work is properly cited (including links to both the formal publication through the relevant DOI and the license). See: https://creativecommons.org/licenses/by-nc-nd/4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) .
spellingShingle Case Report
Able, Corey
Srinivasan, Aditya
Alzweri, Laith
Robotic management of a large mullerian duct cyst: a case report and review of surgical options
title Robotic management of a large mullerian duct cyst: a case report and review of surgical options
title_full Robotic management of a large mullerian duct cyst: a case report and review of surgical options
title_fullStr Robotic management of a large mullerian duct cyst: a case report and review of surgical options
title_full_unstemmed Robotic management of a large mullerian duct cyst: a case report and review of surgical options
title_short Robotic management of a large mullerian duct cyst: a case report and review of surgical options
title_sort robotic management of a large mullerian duct cyst: a case report and review of surgical options
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9547162/
https://www.ncbi.nlm.nih.gov/pubmed/36217396
http://dx.doi.org/10.21037/tau-22-216
work_keys_str_mv AT ablecorey roboticmanagementofalargemullerianductcystacasereportandreviewofsurgicaloptions
AT srinivasanaditya roboticmanagementofalargemullerianductcystacasereportandreviewofsurgicaloptions
AT alzwerilaith roboticmanagementofalargemullerianductcystacasereportandreviewofsurgicaloptions