International Neurourology Journal 2013;17:34-37

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International Neurourology Journal 2013;17:34-37 Unroofed Midline Prostate Cyst Misled Into a Stricture With Obliterative Bladder Neck Contracture Following a Laser Prostatectomy Richilda Red Diaz1, Joo Yong Lee1, Young Deuk Choi1,2,3, Kang Su Cho1 1Department of Urology, Urological Science Institute, 2Clinical Trial Center for Medical Device, 3Robot and Minimal Invasive Surgery Center, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons. org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

International Neurourology Journal 2013;17:34-37 Fig. 1

International Neurourology Journal 2013;17:34-37 Fig. 2

International Neurourology Journal 2013;17:34-37 Fig. 3

International Neurourology Journal 2013;17:34-37 Fig. 4

International Neurourology Journal 2013;17:34-37 Figure Legends Fig. 1.(A) Transrectal ultrasonography showed that prostate may be resected by previous photoselective vaporization of prostate. (B) Schematic illustration on the relationship between obliterated bladder neck and midline prostatic cyst. Fig. 2.(A) The true bladder neck contracture; (B) Urethrography revealed the anatomy of the anterior urethra and an outline of midline prostatic cyst of considerable size. (C) Cystography that shows a distended bladder. Fig. 3.(A) A misleading appearance of the borders of an unroofed cyst wall assumed to be an elevated and contracted bladder neck. (B) The resected borders of the misleading cyst; (C, D) the mucosal vascular pattern of the cyst wall appearing like a bladder mucosa. Fig. 4.(A) The preoperative uroflowmetry pattern suggested obstructive flow (maximal flow rate [Qmax], 1.3 mL/sec). (B) In postoperative uroflowmetry, patient’s symptom was improved (Qmax=21.5mL/sec).