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A symptomatic non inflammatory paraurethral cyst in the corpus spongiosum of bulbar urethra


Authors: Ivo Novák 1,4;  Vladimír Giblo 1;  Jiří Špaček 1;  Petra Kašparová 2;  Kateřina Hojná 3;  Jiřina Svědíková 3
Authors‘ workplace: Urologická klinika Fakultní nemocnice a LF UK Hradec Králové 1;  Fingerlandův PAU, Fakultní nemocnice a LF UK Hradec Králové 2;  RDG centrum, s. r. o., Rychnov nad Kněžnou 3;  Urologie GIBLO – Privátní urologická ambulance, Rychnov nad Kněžnou 4
Published in: Ces Urol 2022; 26(2): 122-129
Category: Case reports

Overview

We present a 29-year-old man with non-inflammatory symptoms of the lower urinary tract (LUTS: testicular pain, difficulty urinating, dysuria, decrease in urine flow). As the cause of LUTS, a paraurethral cystic formation in the corpus spongiosum bulbar urethra was diagnosed by performed examinations (ultrasonographically, urethrocystoscopically, urethrographically and by computed tomography). After the primary percutaneous needle biopsy, there was a relapse, which was successfully cured by classical surgical extirpation. The patient healed uncomplicatedly after the operation. Three months after the operation, he was without subjective LUTS and in the follow-up transperineal ultrasonography, neither persistence nor recurrence of the cystic formation in the spongy body of the bulb was found. The patient‘s condition is currently stable for 3 years. The patient is permanently under the care of a urologist, there are no manifestations of infection in the urine, nor subvesical obstruction (uroflowmetry, ultrasonography of urine residues).

Keywords:

treatment – examinations – LUTS – a cyst in the corpus spongiosum bulbous urethra – Littrés gland


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Paediatric urologist Nephrology Urology
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