Congenital cysts of the lower male genitourinary tract: a disorder with various treatment approaches and pitfalls—case report
Abstract Background The cysts of the male pelvic floor represent a rare clinical entity. Their origin is linked to an altered development of paramesonephric and mesonephric ducts during embryogenesis. Case presentation We report our experience regarding two patients presenting cysts of the ejaculato...
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| Format: | Article |
| Language: | English |
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BMC
2022-09-01
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| Series: | BMC Urology |
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| Online Access: | https://doi.org/10.1186/s12894-022-01048-x |
| _version_ | 1828351870350917632 |
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| author | Matteo Moretti Davide Campobasso Raffaele Inzillo Marco Grande Francesco Facchini Michelangelo Larosa Jean Emmanuel Kwe Gabriele Carlinfante Gian Luigi Pozzoli Maurizio Zizzo Salvatore Micali Antonio Frattini |
| author_facet | Matteo Moretti Davide Campobasso Raffaele Inzillo Marco Grande Francesco Facchini Michelangelo Larosa Jean Emmanuel Kwe Gabriele Carlinfante Gian Luigi Pozzoli Maurizio Zizzo Salvatore Micali Antonio Frattini |
| author_sort | Matteo Moretti |
| collection | DOAJ |
| description | Abstract Background The cysts of the male pelvic floor represent a rare clinical entity. Their origin is linked to an altered development of paramesonephric and mesonephric ducts during embryogenesis. Case presentation We report our experience regarding two patients presenting cysts of the ejaculatory system treated with open and mini-invasive surgery. The patients referred to our clinic with nonspecific symptoms and the diagnosis was obtained by radiological investigations. The patient treated with an open approach developed a pelvic purulent collection and a fistula of the prostatic urethra, managed with surgical drainage and prolonged bladder catheterization. On the other hand, the patient treated with laparoscopic approach did not develop any complications. No sexual or ejaculatory disorders were reported. Conclusions Patients with congenital cysts of the pelvic floor must be adequately informed about the risks and benefits of surgery and a careful counseling is mandatory before surgery. Treatment is recommended for symptomatic patients and an endoscopic approach is associated with a high rate of recurrence. A laparoscopic approach, when possible, is desirable. |
| first_indexed | 2024-04-14T01:45:34Z |
| format | Article |
| id | doaj.art-0af70c1c4eef4a78bb75d992fe16ea8d |
| institution | Directory Open Access Journal |
| issn | 1471-2490 |
| language | English |
| last_indexed | 2024-04-14T01:45:34Z |
| publishDate | 2022-09-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Urology |
| spelling | doaj.art-0af70c1c4eef4a78bb75d992fe16ea8d2022-12-22T02:19:32ZengBMCBMC Urology1471-24902022-09-012211410.1186/s12894-022-01048-xCongenital cysts of the lower male genitourinary tract: a disorder with various treatment approaches and pitfalls—case reportMatteo Moretti0Davide Campobasso1Raffaele Inzillo2Marco Grande3Francesco Facchini4Michelangelo Larosa5Jean Emmanuel Kwe6Gabriele Carlinfante7Gian Luigi Pozzoli8Maurizio Zizzo9Salvatore Micali10Antonio Frattini11Urology Unit - Civil Hospital of Guastalla, AUSL-IRCCS of Reggio EmiliaUrology Unit - Civil Hospital of Guastalla, AUSL-IRCCS of Reggio EmiliaUrology Unit - Civil Hospital of Guastalla, AUSL-IRCCS of Reggio EmiliaUrology Unit - Civil Hospital of Guastalla, AUSL-IRCCS of Reggio EmiliaUrology Unit - Civil Hospital of Guastalla, AUSL-IRCCS of Reggio EmiliaUrology Unit - Civil Hospital of Guastalla, AUSL-IRCCS of Reggio EmiliaUrology Unit - Civil Hospital of Guastalla, AUSL-IRCCS of Reggio EmiliaDepartment of Pathology, Arcispedale Santa Maria Nuova, Azienda USL-IRCCS Di Reggio EmiliaUrology Unit - Civil Hospital of Guastalla, AUSL-IRCCS of Reggio EmiliaSurgical Oncology Unit, AUSL-IRCCS of Reggio EmiliaUrology Unit–Baggiovara Hospital, University of Modena and Reggio EmiliaUrology Unit - Civil Hospital of Guastalla, AUSL-IRCCS of Reggio EmiliaAbstract Background The cysts of the male pelvic floor represent a rare clinical entity. Their origin is linked to an altered development of paramesonephric and mesonephric ducts during embryogenesis. Case presentation We report our experience regarding two patients presenting cysts of the ejaculatory system treated with open and mini-invasive surgery. The patients referred to our clinic with nonspecific symptoms and the diagnosis was obtained by radiological investigations. The patient treated with an open approach developed a pelvic purulent collection and a fistula of the prostatic urethra, managed with surgical drainage and prolonged bladder catheterization. On the other hand, the patient treated with laparoscopic approach did not develop any complications. No sexual or ejaculatory disorders were reported. Conclusions Patients with congenital cysts of the pelvic floor must be adequately informed about the risks and benefits of surgery and a careful counseling is mandatory before surgery. Treatment is recommended for symptomatic patients and an endoscopic approach is associated with a high rate of recurrence. A laparoscopic approach, when possible, is desirable.https://doi.org/10.1186/s12894-022-01048-xCyst of the ejaculatory systemMalformationSymptomsSurgical therapyCase report |
| spellingShingle | Matteo Moretti Davide Campobasso Raffaele Inzillo Marco Grande Francesco Facchini Michelangelo Larosa Jean Emmanuel Kwe Gabriele Carlinfante Gian Luigi Pozzoli Maurizio Zizzo Salvatore Micali Antonio Frattini Congenital cysts of the lower male genitourinary tract: a disorder with various treatment approaches and pitfalls—case report BMC Urology Cyst of the ejaculatory system Malformation Symptoms Surgical therapy Case report |
| title | Congenital cysts of the lower male genitourinary tract: a disorder with various treatment approaches and pitfalls—case report |
| title_full | Congenital cysts of the lower male genitourinary tract: a disorder with various treatment approaches and pitfalls—case report |
| title_fullStr | Congenital cysts of the lower male genitourinary tract: a disorder with various treatment approaches and pitfalls—case report |
| title_full_unstemmed | Congenital cysts of the lower male genitourinary tract: a disorder with various treatment approaches and pitfalls—case report |
| title_short | Congenital cysts of the lower male genitourinary tract: a disorder with various treatment approaches and pitfalls—case report |
| title_sort | congenital cysts of the lower male genitourinary tract a disorder with various treatment approaches and pitfalls case report |
| topic | Cyst of the ejaculatory system Malformation Symptoms Surgical therapy Case report |
| url | https://doi.org/10.1186/s12894-022-01048-x |
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