Ces Urol 2022, 26(2):122-129 | DOI: 10.48095/cccu2022010

A symptomatic non inflammatory paraurethral cyst in the corpus spongiosum of bulbar urethra

Ivo Novák^{1, 4}, Vladimír Giblo¹, Jiří Špaček¹, Petra Kašparová², Kateřina Hojná³, Jiřina Svědíková³

¹ Urologická klinika Fakultní nemocnice a LF UK Hradec Králové

² Fingerlandův PAU, Fakultní nemocnice a LF UK Hradec Králové

³ RDG centrum, s. r. o., Rychnov nad Kněžnou

⁴ Urologie GIBLO - Privátní urologická ambulance, Rychnov nad Kněžnou

Novak I, Giblo V, Kašparová P, Hojná K, Svědíková J. A symptomatic non inflammatory paraurethral cyst in the corpus spongiosum of bulbar urethra. We present a 29-year-old man with non-inflammatory symptoms of the lower urinary tract (LUTS: testicular pain, difficulty urinating, dysuria, decrease in urine flow). As the cause of LUTS, a paraurethral cystic formation in the corpus spongiosum bulbar urethra was diagnosed by performed examinations (ultrasonographically, urethrocystoscopically, urethrographically and by computed tomography). After the primary percutaneous needle biopsy, there was a relapse, which was successfully cured by classical surgical extirpation. The patient healed uncomplicatedly after the operation. Three months after the operation, he was without subjective LUTS and in the follow-up transperineal ultrasonography, neither persistence nor recurrence of the cystic formation in the spongy body of the bulb was found. The patient's condition is currently stable for 3 years. The patient is permanently under the care of a urologist, there are no manifestations of infection in the urine, nor subvesical obstruction (uroflowmetry, ultrasonography of urine residues).

Keywords: LUTS, a cyst in the corpus spongiosum bulbous urethra, Littrés gland, examinations, treatment.

Received: February 22, 2022; Revised: March 22, 2022; Accepted: March 22, 2022; Prepublished online: March 22, 2022; Published: June 29, 2022