Abstract

OBJECTIVE: We report a cave of prostatic utricle cyst complicated with giant lithiasis. METHOD/RESULTS: A 42 year old man with history of surgery for bilateral cryptorchidism and hipospadias in his infancy, presented with initial and terminal hematuria and a digital rectal examination showing a rocky, smooth enlargement of the anterior rectal wall. Prostatic specific antigen was normal. Transrectal and transabdominal ultrasound showed a large retrovesical calcification and intravenous pyelogram showed normality of the upper urinary tract. The patient underwent a complete resection through a suprapubic extraperitoneal approach without complications. Histopathology revealed a 10 cm long prostatic utricle cyst complicated with lithiasis. CONCLUSIONS: The prostatic utricle cysts are rare in clinical practice and associate with anomalies of testicular descent and hipospadias. They have a difficult diferential diagnosis and indication for treatment depends on presenting symptoms, s.ze and complications.