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Table 1 Clinical presentations and surgical approaches to treat a symptomatic prostatic utricle

From: Symptomatic prostatic utricle: various approaches for treatment

Case n° Age Presentation Investigation Treatment
Case 1 Newborn Antenatally detected abdominal mass with hydronephrosis with postnatal urinary retention Postnatal USG: cystic abdominopelvic mass,
MCUG: PU with grade 3, Lt VUR
Laparotomy and excision of PU cyst
Case 2 11 years DSD 46XY, perineal hypospadias with PU MCUG: 4 × 2 cm grade 3 PU.
Cystoscopy: grade 3 PU
Laparoscopy-assisted perineal excision of PU
Case 3 2 years Penoscrotal hypospadias with severe chordee, severe dysuria MCUG: grade 1 PU
cystoscopy
Cystoscopy and cauterization of the PU
Case 4 2 years Penoscrotal hypospadias with recurrent UTI, epididymo-orchitis MCUG: grade 2 PU cystoscopy Perineal excision of PU
Case 5 4 years Penoscrotal hypospadias, C/O dysuria MCUG: grade 2 PU, cystoscopy Cystoscopy and fulguration
Case 6 2 years K/C/O ARM with DA, with mild chordee, recurrent UTI and epididymo-orchitis MCUG: grade 2 PU
cystoscopy
Cystoscopy and fulguration
Case 7 2 years Perineal hypospadias, recurrent UTI MCUG: grade 2 PU
cystoscopy
Perineal excision of PU
  1. DSD disorders of sex development, MCUG micturating cystourethrogram, number, PU prostatic utricle, USG ultrasonography, UTI urinary tract infection, VUR vesicoureteral reflux, ARM anorectal malformation, DA duodenal atresia