Real-time transrectal ultrasound-guided transurethral resection of prostate cyst: a novel technique and initial clinical experience

This study introduces real-time transrectal ultrasound (TRUS)-guided transurethral resection of prostate cysts (TURP-Cyst) and reports initial outcomes. Eight patients with symptomatic prostatic cysts underwent the procedure. Mean cyst size was 2.5 ± 0.3 cm, operative time 35.0 ± 16.0 min, and blood loss 14.0 ± 3.6 ml. No major complications occurred. Postoperative catheterization lasted 1.9 ± 0.6 days. At 6 months, TRUS confirmed cyst resolution in all cases. The International Prostate Symptom Score improved from 19.5 ± 1.2 to 7.5 ± 2.5 (<i>P</i> < .001), and quality of life score from 4.4 ± 0.5 to 1.3 ± 0.5 (<i>P</i> < .001). No significant complications like urinary incontinence or erectile dysfunction were observed, and no cyst recurrences were noted. Real-time TRUS-guided TURP-Cyst is safe and effective, offering precise localization, minimal trauma, and significant LUTS improvement. Larger studies with longer follow-ups are needed to validate these results.