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Case Reports
. 2022 Apr 14;93(S1):e2022094.
doi: 10.23750/abm.v93iS1.12368.

A prostate utricle cyst as a cause of haematospermia in a young adult: a case report

Umberto Tupputi  1 , Francesca Anna Carpagnano  2 , Laura Eusebi  3 , Manuel Di Biase  4 , Aldo Cammarota  5 , Giuseppe Guglielmi  6
Affiliations
Case Reports

A prostate utricle cyst as a cause of haematospermia in a young adult: a case report

Umberto Tupputi et al. Acta Biomed. .

Abstract

Background and aim: Prostatic utricle cyst is an embryological remnant of the Muller duct system, resulting from an incomplete regression of these structures during embryological development. Most of the time such congenital alteration is asymptomatic, but may sometimes present with various signs and symptoms, from urinary tract infections to episodes of haematospermia in a small percentage of cases.

Methods: We reported the case of a 42-years-old man who suffered from recurrent episodes of haematospermia for about 20 years; the instrumental examinations, first of all TRUS and then MRI evaluation, demonstrated the presence of a cystic formation, located in the posterior median site of the prostate closely to the prostatic urethra.

Results: The cytological examination on the liquid taken by transperineal US-guided fine-needle aspiration, confirmed the presence of seminal fluid and normal prostatic tissue consistent with the diagnostic hypothesis of prostatic utricle cyst.

Conclusions: It's important to recognize the imaging characteristics of the prostatic utricle cyst since it may be one of the possible benign causes of hematospermia in the young adult subject.

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Conflict of interest statement

Each author declares that he or she has no commercial associations (e.g. consultancies, stock ownership, equity interest, patent/licensing arrangement etc.) that might pose a conflict of interest in connection with the submitted article

Figures

Figure 1.
Figure 1.
Prostatic utricle cyst in a 42-year-old man. Axial (a), sagittal (b), and coronal (c) three-dimensional (3D) transrectal US images show a midline hypoechoic cystic lesion, which does not extend above the base of the prostate.
Figure 2.
Figure 2.
Prostatic utricle cyst in the same patient as in Figure 1. Axial (a), sagittal (b), and coronal (c) spin- echo T2-weighted MR images show a midline high-signal-intensity prostatic utricle cyst. Axial (d) spin-echo T1-weighted MR image shows high signal intensity of the cystic lesion due to recent episode of haematospermia.
See this image and copyright information in PMC

References

    1. McDermott VG, Meakem TJ 3rd, Stolpen AH, Schnall M. D. Prostatic and periprostatic cysts: findings on MR imaging. AJR. Am J Roentg. 1995;164(1):123–7. https://doi.org/10.2214/ajr.164.1.7998524. - PubMed
    1. Curran S, Akin O, Agildere AM, Zhang J, Hricak H, Rademaker J. Endorectal MRI of prostatic and periprostatic cystic lesions and their mimics. AJR. Am J Roentg. 2007;188(5):1373–9. https://doi.org/10.2214/AJR.06.0759. - PubMed
    1. Shebel HM, Farg HM, Kolokythas O, El-Diasty T. Cysts of the lower male genitourinary tract: embryologic and anatomic considerations and differential diagnosis. Radiographics: a review publication of the Radiological Society of North America, Inc. 2013;33(4):1125–43. https://doi.org/10.1148/rg.334125129. - PubMed
    1. Feutry G, De Perrot T, Wirth GJ, Montet X, Martin SP. Prostatic Utricle Cyst as the Most Likely Cause in a Case of Recurrent Episodes of Hematospermia. Case Rep Urol. 2017;2017:7502878. doi:10.1155/2017/7502878. - PMC - PubMed
    1. Lima M, Maffi M, Di Salvo N, et al. Robotic removal of Müllerian duct remnants in pediatric patients: our experience and a review of the literature. Pediatr Med Chir. 2018;40(1) - PubMed

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