EXCISION OF A LARGE PROSTATIC UTRICLE USING THE TRANSRECTAL POSTERIOR SAGITTAL APPROACH

EXCISION OF A LARGE PROSTATIC UTRICLE USING THE TRANSRECTAL POSTERIOR SAGITTAL APPROACH
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Title:EXCISION OF A LARGE PROSTATIC UTRICLE USING THE TRANSRECTAL POSTERIOR SAGITTAL APPROACH
Author/Abstract:
Virgilio G. Petero, MD and David T. Bolong, MD

Section of Urology, Department of Surgery, University of Santo Tomas Hospital

The surgical management of Mullerian duct remnants remains a challenge. The disorder is rare and the allowance for error is narrow due to the close proximity of these lesions to the structures in the pelvic recto-urethral region namely: the ejaculatory ducts, pelvic nerves, rectum, vas deferens and ureters. Many approaches have been described with the goal of draining, fulgurating or excising these lesions. Such approaches are effective and yield satisfactory results. However, potential complications such as inadvertent injury to pelvic nerves and the adjacent structures causing impotence and rectal injury necessitating diverting colostomy are associated with these approaches. Pe�a et al in 1995 reported the use of a transrectal posterior sagittal approach as an alternative to minimize these complications. We present our initial experience in the management of large prostatic utricular cyst using this innovation.

Key words: Mullerian duct remnants, prostatic utricular cyst, transrectal posterior sagittal approach.
 
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