Prostatic cyst

Case contributed by Mostafa Elfeky
Diagnosis almost certain

Presentation

Haematuria, dysuria and bilateral loin pain.

Patient Data

Age: 15 years
Gender: Male
ultrasound

Midline posterior prostatic cyst measuring 2.8 x 3.3 x 3.6 cm in dimensions. It shows a mild thick wall and increased fluid echogenicity.

Normal size of the prostate (16 cc).

Both kidneys are seen in normal position.

Case Discussion

Posterior midline prostatic cyst is either a utricle cyst or a Müllerian duct cyst which are hard to differentiate on imaging. Patients may present with irritative urinary tract symptoms, pelvic pain or dysuria.

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