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A CLINICAL ENTITY OF CYSTIC DILATATION OF THE UTRICLE ASSOCIATED WITH HEMOSPERMIA

2005; Lippincott Williams & Wilkins; Volume: 174; Issue: 3 Linguagem: Inglês

10.1097/01.ju.0000169494.48968.aa

1527-3792

Seiji Furuya, Haruaki Kato,

Genital Health and Disease

No AccessJournal of UrologyAdult Urology: Sexual Function/Infertility1 Sep 2005A CLINICAL ENTITY OF CYSTIC DILATATION OF THE UTRICLE ASSOCIATED WITH HEMOSPERMIA SEIJI FURUYA and HARUAKI KATO SEIJI FURUYASEIJI FURUYA More articles by this author and HARUAKI KATOHARUAKI KATO More articles by this author View All Author Informationhttps://doi.org/10.1097/01.ju.0000169494.48968.aaAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We investigated the mechanism of hemospermia in patients with a midline cyst (MLC) of the prostate, focusing on cystic dilatation of the utricle (CDU) as a possible causative lesion. Materials and Methods: Of 138 patients with hemospermia 30 (22%) had an MLC, of whom 19 underwent transperineal needle aspiration of the MLC and bilateral seminal vesicles to determine the site of bleeding. Following MLC aspiration a mixture of dye and contrast medium was injected. The verumontanum was observed endoscopically and pelvic x-ray was done. Results: Seminal vesicle fluid on 1 or 2 sides was hemorrhagic in 13 of the 19 patients (aspiration failed in 6) and fluid from the MLC was nonhemorrhagic in 5 of the 19 (aspiration failed in 7). The MLC communicated with the urethra (CDU) in 15 patients (79%) and with 1 or 2 ejaculatory ducts in 11 (58%). In 5 of 11 patients with communication with the ejaculatory duct hemospermia persisted for more than 1 year. Four of these patients were cured by transurethral unroofing of the CDU. Conclusions: CDU is a significant underlying lesion for hemospermia. Communication with the ejaculatory ducts was frequent in patients with chronic hemospermia and transurethral unroofing was effective for eliminating hemospermia. References 1 : Hematospermia: an investigation of the bleeding site and underlying lesions. Int J Urol1999; 6: 539. Google Scholar 2 : Chronic hematospermia: assessment by transrectal ultrasound. Urology1994; 43: 515. Google Scholar 3 : Magnetic resonance imaging in hemospermia. J Urol1997; 157: 258. Link, Google Scholar 4 : Adult müllerian duct or utricle cyst: clinical significance and therapeutic management of 65 cases. J Urol2002; 167: 1740. Abstract, Google Scholar 5 : Prostatic utricle cysts (müllerian duct cysts). J Urol1978; 119: 765. Link, Google Scholar 6 : Mullerian duct cyst: diagnosis with MR imaging. Radiology1988; 168: 25. Google Scholar 7 : Cystic lesion of the prostate. RadioGraphics1990; 10: 635. Google Scholar 8 : Classification of cystic structures located at the midline of the prostate: our experience. Arch Ital Urol Androl2004; 76: 75. Google Scholar 9 : Management of mullerian duct remnants in the male patient. J Urol1988; 140: 795. Link, Google Scholar 10 : Histopathological study of the müllerian duct remnant: clarification of disease categories and terminology. J Urol2002; 167: 133. Abstract, Google Scholar 11 : Transurethral marsupialization of a medial prostatic cyst with prostatitis-like symptoms. J Urol1996; 155: 1301. Link, Google Scholar 12 : The prevalence of cystic abnormalities of the prostate involving the ejaculatory ducts as detected by transrectal ultrasound. Int Urol Nephrol1997; 29: 647. Google Scholar 13 : Ejaculatory duct obstruction: TRUS-guided opacification of seminal tracts. Eur Urol1998; 34: 57. Google Scholar 14 : Cyst of the ejaculatory duct/urogenital sinus. J Urol1984; 132: 768. Link, Google Scholar 15 : The relation of the growing müllerian duct to the wolffian duct and its importance for the genesis of malformation. Anat Rec1941; 81: 1. Google Scholar 16 : An anatomical study by injection technique of the ejaculatory ducts and their relations. J Urol1938; 39: 422. Link, Google Scholar 17 : Hemospermia owing to utricular cyst: embryological summary and surgical review. J Urol1983; 129: 608. Link, Google Scholar 18 : Chronic hemospermia due to müllerian duct cyst: diagnosis by magnetic resonance imaging. J Urol1989; 142: 823. Google Scholar From the Departments of Urology, Furuya Hospital, Kitami, Hokkaido and Shinshu University School of Medicine (HK), Matsumoto, Japan© 2005 by American Urological Association, Inc.FiguresReferencesRelatedDetails Volume 174Issue 3September 2005Page: 1039-1042 Advertisement Copyright & Permissions© 2005 by American Urological Association, Inc.Keywordsseminal vesicleshemorrhagecystsejaculatory ductsprostateMetricsAuthor Information SEIJI FURUYA More articles by this author HARUAKI KATO More articles by this author Expand All Advertisement PDF downloadLoading ...