Int Neurourol J.  2013 Mar;17(1):34-37.

Unroofed Midline Prostate Cyst Misled Into a Stricture With Obliterative Bladder Neck Contracture Following a Laser Prostatectomy

Affiliations
  • 1Department of Urology, Urological Science Institute, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea. kscho99@yuhs.ac
  • 2Clinical Trial Center for Medical Device, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.
  • 3Robot and Minimal Invasive Surgery Center, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.

Abstract

We report on a case of a 67-year-old man who presented with persistent lower urinary tract symptoms following a potassium titanyl phosphate laser photoselective vaporization of prostate. Upon further diagnostic examinations were performed, he was noted to have an obliterative bladder neck contracture with an incidental, misleading, and rare presence of an unroofed midline anterior prostatic cyst presenting as a stricture. As we were presented with this case, it was imperative to address these complications of bladder neck contracture and incompletely ablated prostatic cyst. This report brings to light underestimated complicating factors in the urinary tract, and the diagnostic and therapeutic interventions we had undertaken to rectify the identified complications and improve patien's quality of life. The patient underwent internal urethrotomy, resection of prostatic cyst wall and transurethral resection of the prostate directed to improve his quality of life and prevent urinary retention.

Keyword

Urinary bladder neck obstruction; Urethra; Prostate; Cysts

MeSH Terms

Constriction, Pathologic
Contracture
Humans
Light
Lower Urinary Tract Symptoms
Neck
Phosphates
Potassium
Prostate
Prostatectomy
Quality of Life
Titanium
Urethra
Urinary Bladder
Urinary Bladder Neck Obstruction
Urinary Retention
Urinary Tract
Volatilization
Phosphates
Potassium
Titanium
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