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Transurethral marsupialization of a medial prostatic cyst in patients with prostatitis-like symptoms.
J Urol. 1996 Apr; 155(4):1301-4.JU

Abstract

PURPOSE

The results of transurethral marsupialization as treatment for medial prostatic cysts were assessed.

MATERIALS AND METHODS

Between June 1992 and August 1994 we performed transrectal ultrasound on 704 patients with symptoms of bladder outlet obstruction or lower urinary tract symptoms and a medical prostatic cyst was found in 34 (5%). Transurethral marsupialization of the cyst via incision of the prostatic floor under transrectal ultrasound guidance was performed in 18 patients. Followup was 12 to 25 months (mean 18).

RESULTS

Patients with a medial prostatic cyst complained of prostatitis-like symptoms (77%), scrotal pain (62%), impaired micturition (32%), small volume ejaculation (35%), painful ejaculation (24%), hemospermia (24%) and infertility (12%). After marsupialization of the cyst, symptoms resolved completely in 14 patients (78%), improved in 17 (94%) and did not improve in only 1 (6%). No complications of this procedure were noted. The 16 patients who did not undergo surgery still complain of prostatitis-like symptoms without evidence of bacterial prostatitis.

CONCLUSIONS

We believe that a medial prostatic cyst can cause prostatitis-like symptoms and that marsupialization of the cyst can provide symptom relief in the majority of patients.

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Authors+Show Affiliations

Dik P
Department of Urology, Central Military Hospital and University Hospital, Urecht, The Netherlands.
Lock TM
No affiliation info available
Schrier BP
No affiliation info available
ZeijlemakerBY
No affiliation info available
Boon TA
No affiliation info available

MeSH

AdultCystsDiagnosis, DifferentialFollow-Up StudiesHumansMaleMethodsMiddle AgedProstateProstatic DiseasesProstatitisUltrasonographyUrinary Bladder Neck Obstruction

Pub Type(s)

Journal Article

Language

eng

PubMed ID

8632560

Citation

Dik, P, et al. "Transurethral Marsupialization of a Medial Prostatic Cyst in Patients With Prostatitis-like Symptoms." The Journal of Urology, vol. 155, no. 4, 1996, pp. 1301-4.
Dik P, Lock TM, Schrier BP, et al. Transurethral marsupialization of a medial prostatic cyst in patients with prostatitis-like symptoms. J Urol. 1996;155(4):1301-4.
Dik, P., Lock, T. M., Schrier, B. P., ZeijlemakerBY, ., & Boon, T. A. (1996). Transurethral marsupialization of a medial prostatic cyst in patients with prostatitis-like symptoms. The Journal of Urology, 155(4), 1301-4.
Dik P, et al. Transurethral Marsupialization of a Medial Prostatic Cyst in Patients With Prostatitis-like Symptoms. J Urol. 1996;155(4):1301-4. PubMed PMID: 8632560.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Transurethral marsupialization of a medial prostatic cyst in patients with prostatitis-like symptoms. AU - Dik,P, AU - Lock,T M, AU - Schrier,B P, AU - ZeijlemakerBY,, AU - Boon,T A, PY - 1996/4/1/pubmed PY - 1996/4/1/medline PY - 1996/4/1/entrez SP - 1301 EP - 4 JF - The Journal of urology JO - J Urol VL - 155 IS - 4 N2 - PURPOSE: The results of transurethral marsupialization as treatment for medial prostatic cysts were assessed. MATERIALS AND METHODS: Between June 1992 and August 1994 we performed transrectal ultrasound on 704 patients with symptoms of bladder outlet obstruction or lower urinary tract symptoms and a medical prostatic cyst was found in 34 (5%). Transurethral marsupialization of the cyst via incision of the prostatic floor under transrectal ultrasound guidance was performed in 18 patients. Followup was 12 to 25 months (mean 18). RESULTS: Patients with a medial prostatic cyst complained of prostatitis-like symptoms (77%), scrotal pain (62%), impaired micturition (32%), small volume ejaculation (35%), painful ejaculation (24%), hemospermia (24%) and infertility (12%). After marsupialization of the cyst, symptoms resolved completely in 14 patients (78%), improved in 17 (94%) and did not improve in only 1 (6%). No complications of this procedure were noted. The 16 patients who did not undergo surgery still complain of prostatitis-like symptoms without evidence of bacterial prostatitis. CONCLUSIONS: We believe that a medial prostatic cyst can cause prostatitis-like symptoms and that marsupialization of the cyst can provide symptom relief in the majority of patients. SN - 0022-5347 UR - https://www.unboundmedicine.com/medline/citation/8632560/Transurethral_marsupialization_of_a_medial_prostatic_cyst_in_patients_with_prostatitis_like_symptoms_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0022-5347(01)66251-7 DB - PRIME DP - Unbound Medicine ER -