The prostatic utricle cyst is a vestigial structure originating from the embryological remnants of the Müller duct system. Typically, congenital alterations of this kind remain asymptomatic; however, they can occasionally give rise to various signs and symptoms. In this particular case study, we detail the resection of a symptomatic small prostatic utricle cyst with the assistance of an endoscopic and robotic system.

Our patient is a 23-year-old male with a previous history of hypospadias. He presented with severe tenderness in the lower abdominal and perineal regions, along with turbid discharge from the urethra for many years. Following a series of examinations, the diagnosis of a prostatic utricle was confirmed. As a result, it was recommended to perform robotic-assisted utricle cyst resection. The procedure was carried out using the Da Vinci Xi system in conjunction with cystoscopy, and the operative techniques were demonstrated via video.

With the assistance of cystoscopy, the resection of the prostatic utricle cyst was successfully performed. The specimen size was approximately 2 x 1 cm. The total operative time was 200 minutes, and the estimated blood loss was 30 ml. No intraoperative or postoperative complications were observed. The patient was discharged smoothly after 5 days of care, and there were no further instances of discharge or recurrent urinary tract infections noted post-operatively.

In this video, we present a technically challenging case involving the identification and resection of a prostate utricle cyst guided by cystoscopy and ICG injection. The video demonstrated the enhanced benefits of greater visualization, precision, and dexterity offered by the robotic surgery system.

Continence 12S (2024) 101646
DOI: 10.1016/j.cont.2024.101646