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3-T-Prostata-MRT bei symptomatischer Utrikuluszyste

3 T MRI of the prostate in patients with symptomatic prostatic utricle cyst

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Zusammenfassung

Zysten der Prostata sind ein seltenes oft asymptomatisches Krankheitsbild. Die klassische Unterteilung medianer Zysten in Müller-Gangzysten und Utriculus prostaticus scheint aufgrund neuer Studien fragwürdig. Wir berichten über einen Fall mit seit 10 Jahren bestehender Dysurie. Zur ergänzenden Diagnostik diente ein 3-T-Prostata-MRT mit einer Körperspule. Aufgrund der nicht abgeschlossenen Familienplanung und möglicher Risiken durch die operative Sanierung, wurde in diesem Fall bei konstantem Beschwerdebild auf eine chirurgische Therapie der medianen Utrikuluszyste verzichtet.

Abstract

Cystic lesions of the prostate are rare and often asymptomatic. Medial cysts are conventionally divided into so-called Müllerian duct cysts and prostatic utricle cysts which seems rather questionable in light of recent studies. We report a case of a patient with a 10-year history of dysuria. Diagnostic imaging was performed using 3 T prostate MRI with a body coil. Because of the potential risk of retrograde ejaculation with subsequent infertility and of incontinence by the transurethral resection, the interventional therapy of his utricle cyst was abandoned.

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Literatur

  1. Barzilai M, Ginesin Y (1998) A müllerian prostatic cyst protruding into the base of the urinary bladder. Urol Int 60(3):194–196

    Article  CAS  PubMed  Google Scholar 

  2. Blana A, Wawroschek F, Höpfner W et al (2000) Differentialdiagnose und Therapie intra-und periprostatischer Raumforderungen. Urologe 40:53–57

    Article  Google Scholar 

  3. Dik P, Lock TM, Schrier BP et al (1996) Transurethral marsupialization of a medial prostatic cyst in patients with prostatitis-like symptoms. J Urol 155(4):1301–1304

    Article  CAS  PubMed  Google Scholar 

  4. Gilbert RF, Ibarra J, Tansey LA et al (1992) Adenocarcinoma in a müllerian duct cyst. J Urol 148(4):1262–1264

    CAS  PubMed  Google Scholar 

  5. Greg DC, Sty JR (1989) Sonographic diagnosis of enlarged prostatic utricle. J Ultrasound Med 8:51–52

    Google Scholar 

  6. Hamper UM, Epstein JI, Sheth S et al (1990) Cystic lesions of the prostate gland. A sonographic–pathologic correlation. J Ultrasound Med 9(7):395–402

    CAS  PubMed  Google Scholar 

  7. Kato H, Hayama M, Furuya S et al (2005) Anatomical and histological studies of so-called Müllerian duct cyst. Int J Urol 12(5):465–468

    Article  PubMed  Google Scholar 

  8. King BF, Hattery RR, Lieber MM et al (1991) Congenital cystic disease of the seminal vesicle. Radiology 178:207–211

    CAS  PubMed  Google Scholar 

  9. McDermott VG, Meakem TJ 3rd, Stolpen AH et al (1995) Prostatic and periprostatic cysts: findings on MR imaging. Am J Roentgenol 164(1):123–127

    CAS  Google Scholar 

  10. McDermott V, Orr JD, Wild SR (1993) Duplicated mullerian duct remnants associated with unilateral renal agenesis. Abdom Imag 15:193–195

    Google Scholar 

  11. Van Poppel H, Vereecken R, De Geeter P et al (1983) Hemospermia owing to utricular cyst: embryological summary and surgical review. J Urol 129(3):608–609

    Google Scholar 

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Authors and Affiliations

  1. Institut für Radiologie, Heinrich-Heine-Universität Düsseldorf, Moorenstraße 5, 40225, Düsseldorf, Deutschland

    M. Quentin & D. Blondin

  2. Urologische Klinik, Heinrich-Heine-Universität Düsseldorf, Düsseldorf, Deutschland

    D. Barski & C. Winter

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  1. M. Quentin
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  2. D. Barski
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  3. C. Winter
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  4. D. Blondin
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Correspondence to M. Quentin.

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Quentin, M., Barski, D., Winter, C. et al. 3-T-Prostata-MRT bei symptomatischer Utrikuluszyste. Urologe 49, 1532–1534 (2010). https://doi.org/10.1007/s00120-010-2451-0

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  • DOI: https://doi.org/10.1007/s00120-010-2451-0

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