Challenging Clinical Case

Accidental cystectomy during laparoscopic excision of prostatic utricle cyst – a rare complication

Vol. 44 (4): 826-830, July – August, 2018

doi: 10.1590/S1677-5538.IBJU.2017.0284


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

ABSTRACT

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

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