| ORIGINAL ARTICLE
|Year : 2022 | Volume
| Issue : 4 | Page : 387-390
Newer insights into prostatic utricle in proximal hypospadias
Mamta Sengar, Niyaz Ahmed Khan, Yousuf Siddiqui, Anup Mohta, Alisha Gupta, Chhabi Ranu Gupta
Department of Pediatric Surgery, Chacha Nehru Bal Chikitsalaya, Delhi, India
Introduction: Prostatic utricles (PUs) are the remnants of Mullerian ducts found in the male posterior urethra. Enlarged symptomatic utricles are known to be associated with hypospadias. There is a dearth of literature defining an enlarged utricle and also its clinical significance.
Aims: The aim of this study was to describe anatomical difference of PUs of cases with severe hypospadias and also to find their clinical significance if any.
Materials and Methods: A prospective study was carried out, and all patients with proximal hypospadias were enrolled. Cystoscopy was performed in all cases. Symptomatology, size, and location of PU were recorded. PU of >0.5 cm was considered enlarged.
Results: In the present series, a total of 70 cases were included over a period of 2 years. Enlarged utricle was found in 47/70 (67.14%) on cystoscopy. They were wide-mouthed and negotiated 9 Fr/11 Fr cystoscope with ease. Recurrent epididymo-orchitis, recurrent urinary tract infection, and obstructive features were the most common complications requiring intervention.
Conclusions: PUs in boys with hypospadias are enlarged as well as wide-mouthed. Most of these remain asymptomatic, but few of them carry the potential of complications. Cystoscopy helps in direct visualization of utricular anatomy, so it should be a preferred investigating modality for investigating a PU.
Niyaz Ahmed Khan
Department of Pediatric Surgery, Chacha Nehru Bal Chikitsalaya, Geeta Colony, Delhi - 110 031
Source of Support: None, Conflict of Interest: None
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