Table 2 Various studies reporting clinical presentations and treatment approaches for treatment of prostatic utricle
From: Symptomatic prostatic utricle: various approaches for treatment
Observations | Our series | Hester and Kogan [2] | Liu et al. [9] | Ikoma et al. [13] | Meisheri et al. [14] |
|---|---|---|---|---|---|
No. of patients | 7 | 31 | 22 | 14 | 6 |
Age | Newborn–11 years | 2.1 years mean | 2 months–18 years | 2–28 years | 10 months–10 years |
Presenting symptoms | Recurrent UTI, epididymo-orchitis | UTI, urinary obstruction, dysuria | Pyuria, retention of urine, epididymo-orchitis, hematuria, cystic mass in pelvis, calculus formation, malignancy | Recurrent UTI, post-void dribbling of urine | Recurrent UTI, epididymo-orchitis, pyuria, one child had renal failure |
Associated anomalies | Severe hypospadias-6 | Hypospadias-8, cryptorchidism-7 | Unilateral renal agenesis, posterior urethral valve, VUR | Severe hypospadias-14, also MGD in 6 | Severe hypospadias-5 |
Investigations | MCUG, USG, cystoscopy | Cystoscopy, VCUG | USG, cystoscopy, IVP, VCUG, RUG CT, and MRI | MCUG | MCUG, RUG, cystoscopy |
Treatment approaches | Cystoscopic fulguration, laparoscopic-assisted perineal excision, transperineal excision, trans abdominal excision | Endoscopic fulguration and obliteration with tissue sealant, open excision | Trans rectal USG-guided aspiration, endoscopic techniques, open excision, laparoscopic- and robotic-assisted excision | Abdominal, abdomino perineal, transperineal and transvesical approaches for open excision | Posterior sagittal approach, transvesical and combined posterior sagittal and abdominal approach for open excision |