童綜合醫院 外科部 泌尿科
Anteriorly positioned midline prostatic cyst caused secondary infertility
Division of Urology, Department of Surgery Tungs’ Taichung MetroHarbor Hospital, Taichung, Taiwan
The incidence of congenital mildline prostatic cysts is getting higher and higher from 1% in 1937 to 7.6% in 2003 at asymptomatic man. Most of the symptoms are lower urinary tract symptoms and c secondary infertility. However, Case report of anteriorly positioned midline prostatic cyst of the bladder neck is less than five, it caused lower urinary tract symptoms due to it’s physiological position and functioning like a check valve.
We present a case of adult in marriage and childbearing age with azoospermia found at Premarital medical examination. Anteriorly positioned midline prostatic cyst with ejaculatory duct obstruction was confirmed by 3.0T MRI of prostate. After transurethral incision and pucture procedure of the cyst, most parameters in seminal analysis showed great improvement..
A midline prostatic cyst can be mullerian duct cyst or a utricular cyst, though they have different embryological origins, but clinically we don’t distinguish one another due to they locate at the same position, and have the same symptoms and primary treatment. So midline prostatic cysts were defined as hypoechoic to anechoic cystic lesions located in the midline of the prostate. This is the first report of anteriorly positioned midline prostatic cyst can cause ejaculatory duct obstruction and secondary infertility