A 30-year retrospective study of rare ectopic seminal tract opening cases / 亚洲男科学杂志(英文版)

Ectopic seminal tract opening is a rare congenital malformation. Until recently, there has been a lack of comprehensive reporting on the condition. The purpose of this retrospective study is to summarize the experience of diagnosis and treatment of this condition based on 28 clinical practice cases throughout the past 30 years. We conducted auxiliary examinations on such patients including routine tests, imaging examinations, and endoscopy. Among these 28 cases, there were ectopic opening of vas deferens into enlarged prostatic utricles (6 cases); ejaculatory ducts into enlarged prostatic utricles, Müllerian ducts cysts, and urethras (18 cases, 2 cases, and 1 case, respectively); and ectopic opening of the unilateral vas deferens and the contralateral ejaculatory duct into enlarged prostatic utricle (1 case). The size of the enlarged prostatic utricle, the type of ectopic seminal tract opening, and the opening's location effectively assisted in the selection of clinical treatment methods, including transurethral fenestration of the utricle, transurethral cold-knife incision, open operation, laparoscopic operation, and conservative treatment. Satisfactory effect was achieved during follow-up. In conclusion, a definite diagnosis and personalized treatment are especially important for patients with ectopic seminal tract opening.

Ectopic seminal tract opening in enlarged prostatic utricle: A report of 22 cases / 中华男科学杂志

Objective@#To explore the diagnosis, classification and treatment of ectopic seminal tract opening in enlarged prostatic utricle (EPU).@*METHODS@#We retrospectively analyzed the clinical data on 22 cases of ectopic seminal tract opening in EPU confirmed by spermography, EPU open cannula angiography or intraoperative puncture of the vas deferens and treated by transurethral incision of EPU, cold-knife incision or electric incision of EPU, full drainage of the anteriorwal, and open or laparoscopic surgery from October 1985 to October 2017.@*RESULTS@#Five of the patients were diagnosed with ectopic opening of the vas deferens and the other 17 with ectopic opening of the ejaculatory duct in EPU. During the 3－48 months of postoperative follow-up, symptoms disappeared in all the cases, semen quality was improved in those with infertility, and 2 of the infertile patients achieved pregnancy via ICSI.@*CONCLUSIONS@#Ectopic seminal tract opening in EPU is rare clinically. Spermography is a reliable method for the diagnosis of the disease, and its treatment should be aimed at restoring the smooth flow of semen based on proper classification and typing of the disease.

Imaging diagnosis of enlarged prostatic utricle in children / 实用放射学杂志

Objective To discuss the image characteristics of enlarged prostatic utricle in children.Methods 13 children with enlarged prostatic utricle were retrospectively analyzed,6 of whom checked by voiding cystic urethrography (VCUG),5 of whom by MRI,2 of whom by both VCUG and MRI.Results 8 cases with VCUG showed round-like or long circle utricle filled with contrast media located in the rear posterior urethra.Among them,3 cases showed the tubiform between utricle and posterior urethra.The other 5 cases displayed overlap between utricle and urethra,and there was no tubiform between utricle and posterior urethra.7 cases with MRI showed oblong cyst at the right rear middle of the bladder that showed low signal with T1 weighted image and high signal with T2 weighted image,crossing the center of prostate gland.Among them,5 cases showed the communication between oblong cyst and posterior urethra.Also,among them,5 cases were associated with the orchitis,epididymis phlogistic,scrotal phlogistic,and 1 case showed the right renal agenesis.Conclusion The VCUG and MRI are helpful to check enlarged prostatic utricle in children.They have different advantages in different aspect.

Prostatic utricle associated with hypospadias and hermaphroditism / 대한비뇨기과학회지

From Jan. l985 to June 1990, 1O9 cases with hypospadias, five with male pseudohermaphroditism and four with true hermaphroditism have been studied radiologically in order to evaluate the incidence and configuration or prostatic utricle or vagina masculinus at Pusan National University Hospital. The results were as follows :. 1. The prostatic utricle or vagina masculinus, was found 27 cases (24.8%) out of 109 hypospadias. all of male pseudohermaphroditism and true hermaphroditism. 2. The prostatic utricle was found in 2 (l8.2%) out of 11 glandular hypospadias. 11 (l9.6%) out of 56 penile hypospadias, 12 (34.3%) out of 35 penoscrotal hypospadias and II (68.8%) out o 16 perineal hypospadias. 3. According to Ikoma's classification of prostatic utricle, grade 0, I, II, and III were 1 case (2.1%), 13 (36.1%). 7 (19.4%) and 15 (41.7%), respectively. The incidence and size of prostatic utricle increased according to the severity of hypospadias. 4. Most cases were asymptomatic. Irritative symptoms in bladder or urethra were noted in 4 cases ( 11.1%), and recurrent epididymitis in 3 (8.3%). 5. Of 3 cases with recurrent epididymitis, one had excision of the prostatic utricle. Of 5 male pseudohermaphroditism. 2 vagina masculinus were removed with simultaneous urethroplasty of 4 true hermaphroditism, vaginoplasty was done in 1 case and the removal of vagina masculinus and urethroplasty were done in 2 cases. Therefore. the voiding cystourethrography or retrograde urethrography is necessary for diagnosis of prostatic utricle. especially in cases of severe degree of hypospadias, hermaphroditism and recurrent epididymitis with uncertain causes.

Multiple Calculi in the Enlarged Prostatic Utricle / 대한비뇨기과학회지

Stone in the enlarged prostatic utricle is relatively rare and usually secondary to cystic dilatation of the utricle. Irritative lower urinary tract symptoms are the most common presenting complaint. Recently we experienced a enlarged prostatic utricle containing multiple stone and reviewed literature briefly.

A Case of Hypospadias with Enlargement of the Prostatic Utricle / 대한비뇨기과학회지

The association of hypospadias and cryptorchism with an enlarged prostatic utricle has been recognized for many years. But in patients of hypospadias, routine endoscopy or retrograde urethrography is so rarely performed that enlarged prostatic utricle can`t be found easily. Recently we experienced one case of hypospadias associated with enlargement of the prostatic utricle in 25 year old man. Enlargement of prostatic utricle was removed surgically and the hypospadias was repaired.