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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