Disorders of bladder depletion in a young man because of a prostatic cyst: a case report

Symptomatic prostatic cysts presenting with recurrent urinary tract infections and urinary obstructive disorders in young men may be misdiagnosed as benign prostatic hyperplasia, urethral stenosis or neuropathic bladder. We report a case of a 28 year old young man with obstructive and irritative voiding disorders caused by a prostatic cyst, located in the anterior and left lateral lobe of the prostate gland. The cyst appeared to obstruct the bladder outlet by a "ball-valve" mechanism. The prostatic cyst was incised and marsupialized by transurethral resection. At post-operative follow up we observed an increase in Qmax with no residual urine and negative urine culture. The patient showed no retrograde ejaculation nor erectile dysfunction.