Abstract
•Anterior midline prostatic cysts are very rare.•They might cause sever urinary symptoms.•They are usually treated with transurethral resection of the prostate.•Occasionally, transurethral resection is not feasible due to cyst location.•Percutaneous resection of the cyst is a safe alternative if indicated.
Midline prostatic cysts are common and are usually discovered incidentally. However, anterior midline prostatic cysts are considered rare.
We report a 36-year-old man who presented with severe lower urinary tract symptoms. The patient was diagnosed with an anterior midline prostatic cyst bulging into the bladder. The location of the cyst did not allow for a safe transurethral resection. He was managed successfully through a percutaneous approach.
Percutaneous resection of an anteriorly located prostatic cyst is simple and safe. This procedure is advised if bladder neck injury is possible during transurethral resection to avoid retrograde ejaculation.