Three-dimensional Laparoscopic Management of a Large Prostatic Utricle Cyst in a 6-month-old Boy: An Efficient Minimally Invasive Approach

Prostatic utricle cysts (PUCs) in males with normal external genitalia are rare and often asymptomatic. Minimally invasive surgical techniques, such as laparoscopic excision, have demonstrated effectiveness for symptomatic cases. This report highlights the advantages of a three-dimensional (3D) lapa...

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Main Authors: Animesh, Vinay Shelke, Abhishek Tiwari, Himanshu Acharya, Vikesh Agrawal
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-05-01
Series:Journal of Indian Association of Pediatric Surgeons
Subjects:
Online Access:https://journals.lww.com/10.4103/jiaps.jiaps_25_25
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author Animesh
Vinay Shelke
Abhishek Tiwari
Himanshu Acharya
Vikesh Agrawal
author_facet Animesh
Vinay Shelke
Abhishek Tiwari
Himanshu Acharya
Vikesh Agrawal
author_sort Animesh
collection DOAJ
description Prostatic utricle cysts (PUCs) in males with normal external genitalia are rare and often asymptomatic. Minimally invasive surgical techniques, such as laparoscopic excision, have demonstrated effectiveness for symptomatic cases. This report highlights the advantages of a three-dimensional (3D) laparoscopic approach in managing a large PUC in a 6-month-old boy. A 6-month-old male presenting with urinary obstruction and recurrent infections underwent diagnostic imaging and isotope renography, revealing a large PUC with associated nonfunctioning right ectopic kidney and ureter opening in the cyst. A 3D laparoscopic excision of the cyst and associated structures was performed, followed by orchiopexy for the right intra-abdominal testis. The surgery was completed successfully in 70 min without complications. Postoperative recovery was uneventful, with the patient symptom-free during 2 years of follow-up. 3D laparoscopy offers superior visualization and ergonomics compared to traditional two-dimensional laparoscopy, making it a preferred option for complex pediatric pelvic surgeries. This case underscores its advantages in safety, efficiency, and surgical outcomes, especially in centers where robotic surgery may not be available at present.
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institution Kabale University
issn 0971-9261
1998-3891
language English
publishDate 2025-05-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Journal of Indian Association of Pediatric Surgeons
spelling doaj-art-52ea998fc47b45b1aadbc380976a76962025-08-20T03:53:06ZengWolters Kluwer Medknow PublicationsJournal of Indian Association of Pediatric Surgeons0971-92611998-38912025-05-0130341842110.4103/jiaps.jiaps_25_25Three-dimensional Laparoscopic Management of a Large Prostatic Utricle Cyst in a 6-month-old Boy: An Efficient Minimally Invasive ApproachAnimeshVinay ShelkeAbhishek TiwariHimanshu AcharyaVikesh AgrawalProstatic utricle cysts (PUCs) in males with normal external genitalia are rare and often asymptomatic. Minimally invasive surgical techniques, such as laparoscopic excision, have demonstrated effectiveness for symptomatic cases. This report highlights the advantages of a three-dimensional (3D) laparoscopic approach in managing a large PUC in a 6-month-old boy. A 6-month-old male presenting with urinary obstruction and recurrent infections underwent diagnostic imaging and isotope renography, revealing a large PUC with associated nonfunctioning right ectopic kidney and ureter opening in the cyst. A 3D laparoscopic excision of the cyst and associated structures was performed, followed by orchiopexy for the right intra-abdominal testis. The surgery was completed successfully in 70 min without complications. Postoperative recovery was uneventful, with the patient symptom-free during 2 years of follow-up. 3D laparoscopy offers superior visualization and ergonomics compared to traditional two-dimensional laparoscopy, making it a preferred option for complex pediatric pelvic surgeries. This case underscores its advantages in safety, efficiency, and surgical outcomes, especially in centers where robotic surgery may not be available at present.https://journals.lww.com/10.4103/jiaps.jiaps_25_25infantsminimal access surgeryprostatic utricle cystthree-dimensional laparoscopy
spellingShingle Animesh
Vinay Shelke
Abhishek Tiwari
Himanshu Acharya
Vikesh Agrawal
Three-dimensional Laparoscopic Management of a Large Prostatic Utricle Cyst in a 6-month-old Boy: An Efficient Minimally Invasive Approach
Journal of Indian Association of Pediatric Surgeons
infants
minimal access surgery
prostatic utricle cyst
three-dimensional laparoscopy
title Three-dimensional Laparoscopic Management of a Large Prostatic Utricle Cyst in a 6-month-old Boy: An Efficient Minimally Invasive Approach
title_full Three-dimensional Laparoscopic Management of a Large Prostatic Utricle Cyst in a 6-month-old Boy: An Efficient Minimally Invasive Approach
title_fullStr Three-dimensional Laparoscopic Management of a Large Prostatic Utricle Cyst in a 6-month-old Boy: An Efficient Minimally Invasive Approach
title_full_unstemmed Three-dimensional Laparoscopic Management of a Large Prostatic Utricle Cyst in a 6-month-old Boy: An Efficient Minimally Invasive Approach
title_short Three-dimensional Laparoscopic Management of a Large Prostatic Utricle Cyst in a 6-month-old Boy: An Efficient Minimally Invasive Approach
title_sort three dimensional laparoscopic management of a large prostatic utricle cyst in a 6 month old boy an efficient minimally invasive approach
topic infants
minimal access surgery
prostatic utricle cyst
three-dimensional laparoscopy
url https://journals.lww.com/10.4103/jiaps.jiaps_25_25
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