Radiological Evaluation of Lower Genitourinary Tract Cysts in Males

Abstract

Aim of the Work: The present wok aims to assess how to reach the optimum diagnosis of the nature and the complications of lower genitourinary tract cyst in male patient using different radiological imaging modalities. Patients and Methods: 1000 male patients were evaluated with pelvic ultrasound and if lower genitourinary tract cysts were present, the patients were further subjected to either trans-rectal ultrasound (TRUS), TRUS guided aspiration for presence of spermatozoa, TRUS guided seminal vesiculography or CT urography in order to reach the origin of the cyst and the complications of its presence. Results: 14 cases were detected with lower genitourinary tract cysts among our patients with an overall incidence 1.4%; among them 3 patients with mid line prostatic cysts showed normal seminal analysis; 1 patient with prostatic cyst was infertile; 3 patients were detected with infravesical cysts after transurethral resection prostatectomy; 2 cases with small retention cysts were associated with benign prostatic hyperplasia; 1 case was detected with prostatic abscess; 1 patient was detected with unilateral ureterocele; 1 patient was detected with large pelvi abdominal unilateral seminal vesicle cyst; 1 patient was with unilateral ejaculatory duct cyst; 1 patient with small cystic dilation of prostatic urethra was associated with urethral stone.

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A. Youssef, "Radiological Evaluation of Lower Genitourinary Tract Cysts in Males," Open Journal of Urology, Vol. 3 No. 6, 2013, pp. 256-260. doi: 10.4236/oju.2013.36048.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1] A. B. Galosi, R. Montironi, A. Fabiani, V. Lacetera, G. Gallé and G. Muzzonigro, “Cystic Lesions of the Prostate Gland: An Ultrasound Classification with Pathological Correlation,” Journal of Urology, Vol. 181, No. 2, 2009, pp. 647-657. http://dx.doi.org/10.1016/j.juro.2008.10.006
[2] J. P. Jarow, “Transrectal Ultrasonography of Infertile Men,” Fertility and Sterility, Vol. 60, No. 6, 1993, pp. 1035-1039.
[3] S. Curran, O. Akin, A. M. Agildere, J. B. Zhang, H. Hricak and J. Rademaker, “Endorectal MRI of Prostatic and Periprostatic Cystic Lesions and Their Mimics,” Genitourinary Imaging, Vol. 188, No. 5, 2007, pp. 1873-1879.
[4] M. Arafa, A. Zytoon, H. Eid and A. Fathy, “A New Algorithm for Management of Ejaculatory Duct Obstruction Due to Prostatic Cyst in Infertile Males,” The Internet Journal of Radiology, Vol. 16, No. 1, 2013.
[5] G. Engin, M. Celtik, O. Sanli, O. Aytac, Z. Muradov and A. Kadioglu, “Comparison of Transrectal Ultrasonography and Transrectal Ultrasonography-Guided Seminal Vesicle Aspiration in the Diagnosis of the Ejaculatory Duct Obstruction,” Fertility and Sterility, Vol. 92, No. 3, 2009, pp. 964-970. http://dx.doi.org/10.1016/j.fertnstert.2008.07.1749
[6] B. Dogan, A. E. Canda, Z. Akbulut, A. F. Atmaca, E. Duran and M. D. Balbay, “Prostatic Cyst Causing Severe Infravesical Obstruction in a Young Patient,” Journal of Urology, Vol. 8, No. 4, 2011, pp. 330-332.
[7] J. S. Mayersak, “Urogenital Sinus-Ejaculatory Duct Cyst: A Case Report with Aproposed Clinical Classification and Review of the Literature,” Journal of Urology, Vol. 142, No. 5, 1989, pp. 1330-1332.
[8] E. C. Wessels, M. Ohori, J. E. Grantmyre, et al., “The Prevalence of Cystic Dilatation of the Ejaculatory Ducts Detected by Transrectal Ultrasound (TRUS) in a Self-Referred (Screening) Group of Men,” Journal of Urology, Vol. 147, No. 456A, 1992, Abstract 973.
[9] Z. Kirkali, O. Yigitbasi, B. Diren, et al., “Cysts of the Prostate, Seminal Vesicles and Diverticulum of the Ejaculatory Ducts,” European Urology, Vol. 20, No. 1, 1991, pp. 77-80.
[10] J. S. Elder and J. L. Mostwin, “Cyst of the Ejaculatory Duct/Urogenital Sinus,” Journal of Urology, Vol. 132, No. 4, 1984, pp. 768-771.
[11] H. Van Poppel, R. Vereecken, P. De Geeter and H. Verduyn, “Hemospermia Owing to Utricular Cyst: Embryological Summary and Surgical Review,” Journal of Urology, Vol. 129, No. 3, 1983, pp. 608-609.
[12] D. Katz, M. Mieza and H. M. Nagler, “Ultrasound Guided Transrectal Seminal Vesiculography: A New Approach to the Diagnosis of Male Reproductive Tract Abnormalities,” Journal of Urology, Vol. 151, No. 310A, 1994, Abstract 330.
[13] J. P. Jarow, “Seminal Vesicle Aspiration in the Management of Patients with Ejaculatory Duct Obstruction,” Journal of Urology, Vol. 152, No. 3, 1994, pp. 899-901.
[14] I. Orhan, R. Onur, S. Cayan, et al., “Seminal Vesicle Sperm Aspiration in the Diagnosis of Ejaculatory Duct Obstruction,” BJU International, Vol. 84, No. 9, 1999, pp. 1050-1053. http://dx.doi.org/ 10.1046/j.1464-410x.1999.00379.x
[15] P. J. Littrup, F. Lee, R. D. McLeary, et al., “Transrectal US of the Seminal Vesicles and Ejaculatory Ducts: Clinical Correlation,” Radiology, Vol. 168, No. 3, 1988, pp. 625-628.
[16] H. Takatera, H. Sugao and T. Sakurai, “Ejaculatory Duct Cyst: The Case for Effective Use of Transrectal Longitudinal Ultrasonography,” Journal of Urology, Vol. 137, No. 6, 137, 1987, pp. 1241-1242.

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