Radiological Evaluation of Lower Genitourinary Tract Cysts in Males

Abstract

Aim of the Work : T he present wok aims t o assess how to reach the optimum diagnosis of the nature and the complications of lower genitourinary tract cyst in male patient using different radiological imaging modalities. Patients and Methods: 1000 male patients were evaluated with pelvic ultrasound and if lower genitourinary tract cysts were present, the patients were further subjected to either trans-rectal ultrasound (TRUS), TRUS guided aspiration for presence of spermatozoa, TRUS guided seminal vesiculography or CT urography in order to reach the origin of the cyst and the complications of its presence. Results: 14 cases were detected with lower genitourinary tract cysts among our patients with an overall incidence 1.4% ; among them 3 patients with mid line prostatic cysts showed normal seminal analysis ; 1 patient with prostatic cyst was infertile ; 3 patients were detected with infravesical cysts after transurethral resection prostatectomy ; 2 cases with small retention cysts were associated with benign prostatic hyperplasia ; 1 case was detected with prostatic abscess ; 1 patient was detected with unilateral ureterocele ; 1 patient was detected with large pelvi abdominal unilateral seminal vesicle cyst ; 1 patient was with unilateral ejaculatory duct cyst ; 1 patient with small cystic dilation of prostatic urethra was associated with urethral stone.