Laparoscopic Removal of a Prostatic Utricle in a 15-Month-Old Boy Under Cystoscopic Guidance: A Case Report and Review of the Literature

The prostatic utricle, also known as the utricle of the prostate or Müllerian duct cyst, is a small blind-ended tubular structure found within the prostate gland of some males. In this work, we report the case of a 15-month-old boy, with a history of recurrent epididymitis, presenting with new-onset left scrotal swelling and pain. On cystourethrogram, the patient had an enlarged prostatic utricle (EPU). A successful minimally invasive (laparoscopic) approach for the total excision of the prostatic utricle cyst was performed, while injury of the vas deferens was avoided. Identification and secure dissection of the utricle remnant were aided by the presence of a ureteric stent inside the utricle orifice. The patient had an uneventful postoperative course and remains asymptomatic up to now.