Should asymptomatic small anteriorly located midline prostatic cyst in young adults be treated surgically or conservatively? A case report and review of the literature

Abstract Background Prostatic cysts are uncommon, typically asymptomatic and discovered by chance during imaging. Prostatic cysts in the midline are less prevalent and primarily seen in the posterior aspect of the prostate. Case presentation We describe a case of a 32-year-old man with a complaint o...

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Main Authors: Ali Elsorougy, Hashim Farg, Abdalla Abdelhamid, Mostafa Zakaria, Mohamed Abou El-Ghar
Format: Article
Language:English
Published: SpringerOpen 2022-05-01
Series:The Egyptian Journal of Radiology and Nuclear Medicine
Subjects:
Online Access:https://doi.org/10.1186/s43055-022-00780-6
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author Ali Elsorougy
Hashim Farg
Abdalla Abdelhamid
Mostafa Zakaria
Mohamed Abou El-Ghar
author_facet Ali Elsorougy
Hashim Farg
Abdalla Abdelhamid
Mostafa Zakaria
Mohamed Abou El-Ghar
author_sort Ali Elsorougy
collection DOAJ
description Abstract Background Prostatic cysts are uncommon, typically asymptomatic and discovered by chance during imaging. Prostatic cysts in the midline are less prevalent and primarily seen in the posterior aspect of the prostate. Case presentation We describe a case of a 32-year-old man with a complaint of left loin pain and a little sensation of pelvic discomfort. Ultrasound was done revealing small pelvic cystic structure related to urinary bladder base and neck with possibility to be prostatic in origin. Transrectal ultrasound and pelvic magnetic resonance imaging were done and showed an anteriorly located midline prostatic cyst protruding into the bladder lumen, with no communication with the urethra on conventional ascending urethrogram. Conclusion The rare relationship between the cyst, bladder neck, and prostate make this case to some extent unique and further interesting. To our best knowledge, this is the eighth documented case in the literature to describe an anteriorly located midline intraprostatic cyst projecting at the bladder neck and base with illustration of different plans of treatment.
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spelling doaj.art-a32b46b266ee4bd29852ffdc2bd4a9c62022-12-22T00:43:37ZengSpringerOpenThe Egyptian Journal of Radiology and Nuclear Medicine2090-47622022-05-015311510.1186/s43055-022-00780-6Should asymptomatic small anteriorly located midline prostatic cyst in young adults be treated surgically or conservatively? A case report and review of the literatureAli Elsorougy0Hashim Farg1Abdalla Abdelhamid2Mostafa Zakaria3Mohamed Abou El-Ghar4Radiology Department, Urology and Nephrology Center, Mansoura UniversityRadiology Department, Urology and Nephrology Center, Mansoura UniversityRadiology Department, Urology and Nephrology Center, Mansoura UniversityRadiology Department, Urology and Nephrology Center, Mansoura UniversityRadiology Department, Urology and Nephrology Center, Mansoura UniversityAbstract Background Prostatic cysts are uncommon, typically asymptomatic and discovered by chance during imaging. Prostatic cysts in the midline are less prevalent and primarily seen in the posterior aspect of the prostate. Case presentation We describe a case of a 32-year-old man with a complaint of left loin pain and a little sensation of pelvic discomfort. Ultrasound was done revealing small pelvic cystic structure related to urinary bladder base and neck with possibility to be prostatic in origin. Transrectal ultrasound and pelvic magnetic resonance imaging were done and showed an anteriorly located midline prostatic cyst protruding into the bladder lumen, with no communication with the urethra on conventional ascending urethrogram. Conclusion The rare relationship between the cyst, bladder neck, and prostate make this case to some extent unique and further interesting. To our best knowledge, this is the eighth documented case in the literature to describe an anteriorly located midline intraprostatic cyst projecting at the bladder neck and base with illustration of different plans of treatment.https://doi.org/10.1186/s43055-022-00780-6Prostatic cystMidline anterior prostatic cystMPCs
spellingShingle Ali Elsorougy
Hashim Farg
Abdalla Abdelhamid
Mostafa Zakaria
Mohamed Abou El-Ghar
Should asymptomatic small anteriorly located midline prostatic cyst in young adults be treated surgically or conservatively? A case report and review of the literature
The Egyptian Journal of Radiology and Nuclear Medicine
Prostatic cyst
Midline anterior prostatic cyst
MPCs
title Should asymptomatic small anteriorly located midline prostatic cyst in young adults be treated surgically or conservatively? A case report and review of the literature
title_full Should asymptomatic small anteriorly located midline prostatic cyst in young adults be treated surgically or conservatively? A case report and review of the literature
title_fullStr Should asymptomatic small anteriorly located midline prostatic cyst in young adults be treated surgically or conservatively? A case report and review of the literature
title_full_unstemmed Should asymptomatic small anteriorly located midline prostatic cyst in young adults be treated surgically or conservatively? A case report and review of the literature
title_short Should asymptomatic small anteriorly located midline prostatic cyst in young adults be treated surgically or conservatively? A case report and review of the literature
title_sort should asymptomatic small anteriorly located midline prostatic cyst in young adults be treated surgically or conservatively a case report and review of the literature
topic Prostatic cyst
Midline anterior prostatic cyst
MPCs
url https://doi.org/10.1186/s43055-022-00780-6
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