Robotic-assisted excision of a prostatic utricle cyst in a 12-month boy with proximal hypospadia and 45X0/ 46XY karyotype.

Autor: Macedo A Jr; São Luiz Children's Hospital, São Paulo, Brazil; Department of Urology, CACAU-NUPEP, São Paulo, Brazil., Del Debbio Di Migueli R; São Luiz Children's Hospital, São Paulo, Brazil; Department of Urology, CACAU-NUPEP, São Paulo, Brazil., Ottoni SL; São Luiz Children's Hospital, São Paulo, Brazil; Department of Urology, CACAU-NUPEP, São Paulo, Brazil., Leal da Cruz M; São Luiz Children's Hospital, São Paulo, Brazil; Department of Urology, CACAU-NUPEP, São Paulo, Brazil. Electronic address: ma_celaleal@yahoo.com.br., Manzano JP; São Luiz Children's Hospital, São Paulo, Brazil.
Jazyk: angličtina
Zdroj: Journal of pediatric urology [J Pediatr Urol] 2020 Oct; Vol. 16 (5), pp. 725-726. Date of Electronic Publication: 2020 Aug 26.
DOI: 10.1016/j.jpurol.2020.08.020
Abstrakt: Introduction: Prostatic utricle cysts result from incomplete regression of Mullerian duct structures and occur most frequently in males with perineal or peno-scrotal hypospadias. Utricular cysts may present with various signs and symptoms including urinary tract infection, pain and post-void incontinence, a palpable abdominal mass or recurrent epididymitis.
Material and Methods: We present a 12 months boy we treated due to proximal hypospadias in two stages, in association to a dysplastic undescended testis that was excised. The karyotype of the patient was 45X0/46XY and after successful hypospadias treatment, the mother complained of purulent discharge in the diapers. A sonogram showed a large cyst behind the bladder with heterogeneous content. The diagnosis of utricle cyst was confirmed by a NMR with detailed anatomy and low confluence of the neck of the cyst to the urethra.
Results: We performed a robotic excision of the cyst consisting of careful dissection between bladder and rectum and a safe ligation of the communication of it to the urethra.
Conclusion: Patient outcome was uneventful. To the best of our knowledge this is the youngest patient with utricle cyst treated with robotic approach reported in the literature.
Competing Interests: Conflicts of interest None.
(Copyright © 2020 Journal of Pediatric Urology Company. Published by Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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