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[The pathological prostatic utricle: two case reports].
Prog Urol. 1997 Apr; 7(2):281-5.PU

Abstract

The prostatic utricle is a small vestigial diverticulum on the posterior surface of the prostatic urethra. It is considered to be pathological when it is abnormally dilated. The prostatic utricle is revealed by signs of vesical irritation and dysuria, sometimes associated with a retrovesical mass on examination. The authors report two cases of pathological prostatic utricle. The first case was an 11-year-old boy presenting with dysuria. Retrograde cystourethrography confirmed the diagnosis. The utricle was resected via a transtrigonal intravesical approach. The second case was a 25-year-old man who presented with dysuria associated with a pelvic mass. IVU and ultrasonography suggested a diagnosis of retrovesical cyst. This patient underwent incomplete resection of the utricle via a retrovesical approach. Based on a review of the literature, the authors emphasize the need to look for a prostatic utricle in a young subject presenting with dysuria, particularly in patients with a malformation of the genitourinary tract (hypospadias, renal agenesis). All pathological prostatic utricles must be treated surgically. The incision is transtrigonal in medium-sized utricles and transperitoneal in large utricles. The utricular cavity must be resected as completely as possible.

Authors+Show Affiliations

Njeh M
Service d'Urologie, Hôpital Habib Bourguiba, Sfax, Tunisie.
Mnif J
No affiliation info available
Bahloul A
No affiliation info available
Kessentini S
No affiliation info available
Triki A
No affiliation info available
Mhiri MN
No affiliation info available

MeSH

AdultChildDilatation, PathologicDiverticulumHumansMaleProstatic DiseasesSeverity of Illness IndexUrination Disorders

Pub Type(s)

Case Reports
English Abstract
Journal Article

Language

fre

PubMed ID

9264774

Citation

Njeh, M, et al. "[The Pathological Prostatic Utricle: Two Case Reports]." Progres En Urologie : Journal De l'Association Francaise D'urologie Et De La Societe Francaise D'urologie, vol. 7, no. 2, 1997, pp. 281-5.
Njeh M, Mnif J, Bahloul A, et al. [The pathological prostatic utricle: two case reports]. Prog Urol. 1997;7(2):281-5.
Njeh, M., Mnif, J., Bahloul, A., Kessentini, S., Triki, A., & Mhiri, M. N. (1997). [The pathological prostatic utricle: two case reports]. Progres En Urologie : Journal De l'Association Francaise D'urologie Et De La Societe Francaise D'urologie, 7(2), 281-5.
Njeh M, et al. [The Pathological Prostatic Utricle: Two Case Reports]. Prog Urol. 1997;7(2):281-5. PubMed PMID: 9264774.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [The pathological prostatic utricle: two case reports]. AU - Njeh,M, AU - Mnif,J, AU - Bahloul,A, AU - Kessentini,S, AU - Triki,A, AU - Mhiri,M N, PY - 1997/4/1/pubmed PY - 1997/4/1/medline PY - 1997/4/1/entrez SP - 281 EP - 5 JF - Progres en urologie : journal de l'Association francaise d'urologie et de la Societe francaise d'urologie JO - Prog Urol VL - 7 IS - 2 N2 - The prostatic utricle is a small vestigial diverticulum on the posterior surface of the prostatic urethra. It is considered to be pathological when it is abnormally dilated. The prostatic utricle is revealed by signs of vesical irritation and dysuria, sometimes associated with a retrovesical mass on examination. The authors report two cases of pathological prostatic utricle. The first case was an 11-year-old boy presenting with dysuria. Retrograde cystourethrography confirmed the diagnosis. The utricle was resected via a transtrigonal intravesical approach. The second case was a 25-year-old man who presented with dysuria associated with a pelvic mass. IVU and ultrasonography suggested a diagnosis of retrovesical cyst. This patient underwent incomplete resection of the utricle via a retrovesical approach. Based on a review of the literature, the authors emphasize the need to look for a prostatic utricle in a young subject presenting with dysuria, particularly in patients with a malformation of the genitourinary tract (hypospadias, renal agenesis). All pathological prostatic utricles must be treated surgically. The incision is transtrigonal in medium-sized utricles and transperitoneal in large utricles. The utricular cavity must be resected as completely as possible. SN - 1166-7087 UR - https://www.unboundmedicine.com/medline/citation/9264774/[The_pathological_prostatic_utricle:_two_case_reports]_ L2 - https://medlineplus.gov/prostatediseases.html DB - PRIME DP - Unbound Medicine ER -