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Enlarged Prostatic Utricle Associated to Hypospadias

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Hypospadias Surgery

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Abstract

Prostatic utricle (PU) is an enlarged diverticulum localized in the posterior urethra and derived by the persistence of Müllerian structures or decreased androgenic stimulation of the urogenital sinus.

It can be associated to other anomalies such as hypospadias, cryptorchidism, renal agenesis, and intersex disorders. Diagnosis can be provided by ultrasounds, voiding cysto-urethrogram (VCUG), and magnetic resonance imaging (MRI).

Treatment is a challenge due to the anatomic site of the prostatic utricle (PU) and the risk of injury to the surrounding structures and nerves. Many approaches have been described: conservative, endoscopic, open, and minimally invasive.

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Abbreviations

AMH:

Anti-Müllerian hormone

MRI:

Magnetic resonance imaging

PU:

Prostatic utricle

TRUS:

Transrectal ultrasound

US:

Ultrasounds

VCUG:

Voiding cysto-urethrogram

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Authors and Affiliations

  1. Pediatric Surgery Department, IRCCS Sant’Orsola Polyclinic, Alma Mater Studiorum - University of Bologna, Bologna, Italy

    Mario Lima & Michela Maffi

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  1. Mario Lima
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  2. Michela Maffi
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Correspondence to Mario Lima .

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Editors and Affiliations

  1. Hypospadias Center and Pediatric Surgery Department, Sana Klinikum Offenbach, Academic Teaching Hospital of the Johann Wolfgang Goethe University, Offenbach, Frankfurt, Germany

    Ahmed T. Hadidi

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Lima, M., Maffi, M. (2022). Enlarged Prostatic Utricle Associated to Hypospadias. In: Hadidi, A.T. (eds) Hypospadias Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-94248-9_48

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  • DOI: https://doi.org/10.1007/978-3-030-94248-9_48

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