Tags

Type your tag names separated by a space and hit enter

Transurethral ablation of a prostatic utricle cyst with the use of a holmium laser.
Fertil Steril. 2018 12; 110(7):1410-1411.FS

Abstract

OBJECTIVE

To demonstrate a safe and effective approach to the treatment of obstructing midline prostate utricle cyst with the use of a holmium laser.

DESIGN

Video presentation.

SETTING

University hospital.

PATIENT(S)

A 33-year-old man presented with chronic pelvic pain, pain with ejaculation, and infertility. Semen analysis demonstrated oligoasthenospermia with poor viability and computerized tomographic scan identified the presence of a midline 2-3-cm prostatic cyst with dilated seminal vesicles bilaterally. Transrectal ultrasound in the office confirmed the diagnosis of midline obstructing prostatic utricle cyst and estimated the distance from the urethra.

INTERVENTION(S)

Transurethral ablation of a midline prostate utricle cyst with the use of a holmium laser.

MAIN OUTCOME MEASURE(S)

Intraoperative technique highlighting the main steps for a transurethral ablation of a midline prostate utricle cyst with the use of a holmium laser.

RESULT(S)

This video highlights the technique for transurethral ablation of a midline prostate utricle cyst with the use of a holmium laser to unroof the cyst. Retrograde vesiculography was performed to confirm patency of the ejaculatory ducts. Outpatient surgery was tolerated well and the patient was discharged. After surgery at 4 weeks, his symptoms had abated and semen analysis revealed normozoospermia.

CONCLUSION(S)

We demonstrate safe and effective transurethral ablation of a midline prostate utricle cyst with the use of a holmium laser. Preoperative transrectal ultrasound or cross-sectional imaging can be useful for operative planning. When the orifices of the ejaculatory ducts can be identified, vesiculography can be performed to confirm patency of the ducts and seminal vesicles after relief of the obstructing cyst.

Authors+Show Affiliations

Department of Urology, University of Miami, Miami, Florida.Department of Urology, University of Miami, Miami, Florida.Department of Urology, University of Miami, Miami, Florida.Department of Urology, University of Miami, Miami, Florida.Department of Urology, University of Miami, Miami, Florida. Electronic address: ranjithrama@gmail.com.

Pub Type(s)

Case Reports
Journal Article
Video-Audio Media

Language

eng

PubMed ID

30503140

Citation

Sávio, Luís F., et al. "Transurethral Ablation of a Prostatic Utricle Cyst With the Use of a Holmium Laser." Fertility and Sterility, vol. 110, no. 7, 2018, pp. 1410-1411.
Sávio LF, Carrasquillo RJ, Dubin JM, et al. Transurethral ablation of a prostatic utricle cyst with the use of a holmium laser. Fertil Steril. 2018;110(7):1410-1411.
Sávio, L. F., Carrasquillo, R. J., Dubin, J. M., Shah, H., & Ramasamy, R. (2018). Transurethral ablation of a prostatic utricle cyst with the use of a holmium laser. Fertility and Sterility, 110(7), 1410-1411. https://doi.org/10.1016/j.fertnstert.2018.08.051
Sávio LF, et al. Transurethral Ablation of a Prostatic Utricle Cyst With the Use of a Holmium Laser. Fertil Steril. 2018;110(7):1410-1411. PubMed PMID: 30503140.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Transurethral ablation of a prostatic utricle cyst with the use of a holmium laser. AU - Sávio,Luís F, AU - Carrasquillo,Robert J, AU - Dubin,Justin M, AU - Shah,Hemendra, AU - Ramasamy,Ranjith, PY - 2018/05/11/received PY - 2018/08/22/revised PY - 2018/08/27/accepted PY - 2018/12/4/entrez PY - 2018/12/7/pubmed PY - 2019/4/18/medline KW - Prostate KW - holmium KW - infertility KW - laser KW - utricle cyst SP - 1410 EP - 1411 JF - Fertility and sterility JO - Fertil Steril VL - 110 IS - 7 N2 - OBJECTIVE: To demonstrate a safe and effective approach to the treatment of obstructing midline prostate utricle cyst with the use of a holmium laser. DESIGN: Video presentation. SETTING: University hospital. PATIENT(S): A 33-year-old man presented with chronic pelvic pain, pain with ejaculation, and infertility. Semen analysis demonstrated oligoasthenospermia with poor viability and computerized tomographic scan identified the presence of a midline 2-3-cm prostatic cyst with dilated seminal vesicles bilaterally. Transrectal ultrasound in the office confirmed the diagnosis of midline obstructing prostatic utricle cyst and estimated the distance from the urethra. INTERVENTION(S): Transurethral ablation of a midline prostate utricle cyst with the use of a holmium laser. MAIN OUTCOME MEASURE(S): Intraoperative technique highlighting the main steps for a transurethral ablation of a midline prostate utricle cyst with the use of a holmium laser. RESULT(S): This video highlights the technique for transurethral ablation of a midline prostate utricle cyst with the use of a holmium laser to unroof the cyst. Retrograde vesiculography was performed to confirm patency of the ejaculatory ducts. Outpatient surgery was tolerated well and the patient was discharged. After surgery at 4 weeks, his symptoms had abated and semen analysis revealed normozoospermia. CONCLUSION(S): We demonstrate safe and effective transurethral ablation of a midline prostate utricle cyst with the use of a holmium laser. Preoperative transrectal ultrasound or cross-sectional imaging can be useful for operative planning. When the orifices of the ejaculatory ducts can be identified, vesiculography can be performed to confirm patency of the ducts and seminal vesicles after relief of the obstructing cyst. SN - 1556-5653 UR - https://www.unboundmedicine.com/medline/citation/30503140/Transurethral_ablation_of_a_prostatic_utricle_cyst_with_the_use_of_a_holmium_laser_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0015-0282(18)31890-9 DB - PRIME DP - Unbound Medicine ER -