A TRANSVESICAL APPROACH TO MULLERIAN DUCT REMNANTS

Surgical extirpation is the treatment of choice for symptomatic muller ian duct remnants (prostatic utricle, PU), and several surgical approa ches have been described for the treatment of this pathology. A group of 11 patients with symptomatic PU were observed and treated. Associat ed anomalies included proximal or penoscrotal hypospadias in all patie nts and cryptorchidism in 9 (81.8%). In all cases the PU needed surgic al correction, as the patients had recurring symptomatology. Surgery w as carried out transvesically in 10 (91%) cases and in 1 a perineal ap proach was used. There were no surgical complications, and at follow-u p all patients showed complete resolution of the symptoms. We believe the transvesical approach, compared to other techniques, is more advan tageous in the treatment of this pathology, as it permits excellent ex posure, ease of surgery, good reconstruction, and good functional resu lts with no sequelae.