Vol. 44 (4): 826-830, July – August, 2018
CHALLENGING CLINICAL CASES
Vikash Kumar 1, Chirag Punatar 1, Kunal Jadhav 1, Sharad Sagade 1
1 Department of Urology, P. D. Hinduja National Hospital and Medical Research Centre, Mumbai, Maharashtra, India
Prostatic utricle cyst is a rare congenital anomaly. Symptomatic cysts require treatment. Surgical excision is the treatment of choice, but is challenging due to close proximity to vas deferens, ejaculatory ducts, bladder, prostate, rectum and pelvic nerves. Complications include rectal injury, ureteral injury, impotence, infertility and faecal incontinence. We here report a rare complication in which bladder was accidentally removed during laparoscopic excision of prostatic utricle cyst. To best of our knowledge such a complication has never been reported previously. We also describe the possible cause of this accident and suggest ways to prevent this disastrous complication.
Keywords: Cystectomy; Intraoperative Complications; Prostate