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MULLERIAN DUCT CYST (UTRICULAR CYST): TREATMENT WITH THE TRANSVESICAL, TRANSTRIGONAL APPROACH
Author(s) -
Kooi GoonHong,
Chah TanKai,
Sakijan AbdulSamad
Publication year - 1987
Publication title -
australian and new zealand journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.111
H-Index - 51
eISSN - 1445-2197
pISSN - 0004-8682
DOI - 10.1111/j.1445-2197.1987.tb01449.x
Subject(s) - medicine , cyst , surgery , malignancy , duct (anatomy) , urinary system , anatomy
The diagnosis of mullerian duct or utricular cyst should be considered in a child with urinary difficulties and a palpable midline, anterior rectal mass. Endoscopic cannulation of the cyst has been found to be the most useful diagnostic test. Infection should be treated with die appropriate antibiotics before definitive treatment. Surgical excision offers the best result. The transperitoneal and posterior parasacral approaches have been described but we favour the transvesical, transtrigonal approach which we find highly satisfactory. The risk of malignancy at a later age is an added indication for surgery.