TRANSRECTAL ULTRASOUND-GUIDED DRAINAGE OF PROSTATIC CYSTS

Purpose: A technique for transrectal ultrasound guided drainage of pro static cysts and large cystic utricles is described using simple adapt ation of equipment readily available in the transrectal ultrasound sui te. Materials and Methods: Using the puncture trajectory display gener ated by the ultrasound unit, the biopsy needle is manually advanced th rough the needle guide of the transrectal ultrasound probe. Once the t ip of the needle reaches the lumen of the cystic lesion, the central t rocar of the needle is removed from the outer cannula and intravenous line tubing is inserted into the opening in the trocar. The syringe is attached to the opposite end of the extension tubing, allowing for cy st aspiration. Results: This technique was performed successfully in 1 1 patients with symptomatic cysts within the prostate, including 7 wit h intraprostatic cysts and 4 with cystic utricles. The fluid collectio n recurred in 1 patient with a cystic utricle, causing epididymal pain and orchialgia that resolved with repeat drainage. Conclusions: This technique allows for easy, successful drainage of symptomatic prostati c cysts in an outpatient setting without specialized equipment or anes thesia.