{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T16:11:21Z","timestamp":1786119081141,"version":"build-2736575974"},"reference-count":13,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2024,12,1]],"date-time":"2024-12-01T00:00:00Z","timestamp":1733011200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2024,12,1]],"date-time":"2024-12-01T00:00:00Z","timestamp":1733011200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2024,10,24]],"date-time":"2024-10-24T00:00:00Z","timestamp":1729728000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction and importance:<\/jats:title>\n                    <jats:p>Prostatic utricle cyst (PUC) is an anatomic anomaly resulting from a vestigial remnant of the M\u00fcllerian duct in the posterior urethra. Proper diagnosis is crucial, as its presentation can vary widely and can present with infertility. The aim of this article is to present a rare case of a large prostatic utricle cyst as a cause of primary infertility, surgically managed with robotic excision followed by microdissection testicular sperm extraction to achieve fertility.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation:<\/jats:title>\n                    <jats:p>\n                      This is a case report of a 29-year-old male presenting with recurrent epididymo-orchitis and primary infertility. Imaging confirmed the presence of an enlarged PUC and was further managed as a case of obstructive azoospermia. Robotic surgery was done owing to its innovative approach in ensuring precise movements, improved anatomical visualization, and finer dissection into the deep pelvic cavity. Successful conception of a healthy offspring was achieved through one attempt of\n                      <jats:italic toggle=\"yes\">in vitro<\/jats:italic>\n                      fertilization.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical discussion:<\/jats:title>\n                    <jats:p>Large symptomatic prostatic utricle cysts are managed surgically, whether open, endoscopic, laparoscopic, or robotic. Robotic-assisted laparoscopic excision of prostatic utricle cysts offers many advantages in terms of surgical field exposure, highly improved surgical dexterity and precision, fewer intraoperative complications, and postoperative outcomes. Testicular sperm extraction after surgery is recommended in such cases if fertility is desired.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Robotic excision with microdissection testicular sperm extraction for sperm cryopreservation for future fertility is a feasible and promising option for the treatment of large symptomatic prostatic utricle cysts.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2024.110523","type":"journal-article","created":{"date-parts":[[2024,10,28]],"date-time":"2024-10-28T01:52:23Z","timestamp":1730080343000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Robotic excision of a large prostatic utricle cyst with microdissection testicular sperm extraction presenting as primary infertility: A case report"],"prefix":"10.1097","volume":"125","author":[{"given":"Michelangelo","family":"Cobangbang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dennis","family":"Serrano","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nikko","family":"Magsanoc","sequence":"additional","affiliation":[{"name":"St. Luke's Medical Center- Institute of Urology, 5th Avenue, Taguig, Metro Manila, NCR 1634, Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"issue":"11","key":"R1-46-20260423","doi-asserted-by":"crossref","first-page":"2023","DOI":"10.1093\/humrep\/dey298","article-title":"The prevalence of midline prostatic cysts and the relationship between cyst size and semen parameters among infertile and fertile men","volume":"33","author":"Lotti,","year":"2018","journal-title":"Hum. Reprod."},{"key":"R2-46-20260423","doi-asserted-by":"crossref","first-page":"94","DOI":"10.1016\/j.ijscr.2015.03.024","article-title":"Robotic-assisted surgery for excision of an enlarged prostatic utricle","volume":"10","author":"Goruppi,","year":"2015","journal-title":"Int. J. Surg. Case Rep."},{"issue":"10","key":"R3-46-20260423","doi-asserted-by":"crossref","first-page":"1597","DOI":"10.1016\/j.jpedsurg.2016.06.004","article-title":"Comparison of laparoscopic excision versus open transvesical excision for symptomatic prostatic utricle in children","volume":"51","author":"Jia,","year":"2016","journal-title":"J. Pediatr. Surg."},{"issue":"1","key":"R4-46-20260423","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1016\/j.jpurol.2017.09.024","article-title":"Cystoscopic-assisted laparoscopic excision of prostatic utricle","volume":"14","author":"Mostafa,","year":"2018","journal-title":"J. Pediatr. Urol."},{"issue":"9","key":"R5-46-20260423","doi-asserted-by":"crossref","first-page":"e9985","DOI":"10.1097\/MD.0000000000009985","article-title":"Prostatic cyst in general practice: a case report and literature review","volume":"97","author":"Qiu,","year":"2018","journal-title":"Medicine (Baltimore)"},{"issue":"5","key":"R6-46-20260423","doi-asserted-by":"crossref","first-page":"725","DOI":"10.1016\/j.jpurol.2020.08.020","article-title":"Robotic-assisted excision of a prostatic utricle cyst in a 12-month boy with proximal hypospadia and 45X0\/ 46XY karyotype","volume":"16","author":"Macedo,","year":"2020","journal-title":"J. Pediatr. Urol."},{"issue":"4","key":"R7-46-20260423","doi-asserted-by":"crossref","first-page":"343","DOI":"10.1016\/j.jpurol.2018.07.015","article-title":"Robot-assisted laparoscopic excision of prostatic utricle in a 3-year old","volume":"14","author":"Nguyen,","year":"2018","journal-title":"J. Pediatr. Urol."},{"issue":"5","key":"R8-46-20260423","doi-asserted-by":"crossref","first-page":"1136","DOI":"10.1097\/JS9.0000000000000373","article-title":"The SCARE 2023 guideline: updating consensus surgical CAse REport (SCARE) guidelines","volume":"109","author":"Sohrabi,","year":"2023","journal-title":"Int J Surg Lond Engl."},{"issue":"1","key":"R9-46-20260423","doi-asserted-by":"crossref","first-page":"e35","DOI":"10.1055\/s-0040-1705155","article-title":"Cystoscopy-guided laparoscopic excision of prostatic utricle: report of a case","volume":"8","author":"Boybeyi-Turer,","year":"2020","journal-title":"European J Pediatr Surg Rep."},{"issue":"2","key":"R10-46-20260423","first-page":"16","volume":"4","author":"Priyadarshi,","year":"2013","journal-title":"APSP J Case Rep."},{"issue":"2021","key":"R11-46-20260423","doi-asserted-by":"crossref","first-page":"5516232","DOI":"10.1155\/2021\/5516232","article-title":"An enlarged and infected prostatic utricle as a rare cause of lower urinary tract symptoms in adolescent males","volume":"18","author":"Shakir,","year":"2021","journal-title":"Case Rep Pediatr."},{"issue":"5","key":"R12-46-20260423","doi-asserted-by":"crossref","first-page":"558","DOI":"10.4103\/aja2021112","article-title":"A case of obstructive azoospermia secondary to genitourinary tract infection caused by a prostatic utricle cyst","volume":"24","author":"Saito,","year":"2022","journal-title":"Asian J. Androl."},{"issue":"5","key":"R13-46-20260423","doi-asserted-by":"crossref","first-page":"710","DOI":"10.1016\/j.jpurol.2021.08.004","article-title":"Robotic assisted retrovesical approach to prostatic utricle excision and other complex pelvic pathology in children is safe and feasible","volume":"17","author":"Bayne,","year":"2021","journal-title":"J. Pediatr. Urol."}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S221026122401304X?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S221026122401304X?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ovid.com\/10.1016\/j.ijscr.2024.110523","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,6]],"date-time":"2026-08-06T17:30:53Z","timestamp":1786037453000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.1016\/j.ijscr.2024.110523"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,12]]},"references-count":13,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2024]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2024.110523","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2024,12]]},"assertion":[{"value":"2024-09-23","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-10-24","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}