{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T05:35:57Z","timestamp":1791956157231,"version":"4.3.4"},"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Prostatic utricles (PUs) are the remnants of Mullerian ducts found in the male posterior urethra. Enlarged symptomatic utricles are known to be associated with hypospadias. There is a dearth of literature defining an enlarged utricle and also its clinical significance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims:<\/jats:title>\n                    <jats:p>The aim of this study was to describe anatomical difference of PUs of cases with severe hypospadias and also to find their clinical significance if any.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>A prospective study was carried out, and all patients with proximal hypospadias were enrolled. Cystoscopy was performed in all cases. Symptomatology, size, and location of PU were recorded. PU of &gt;0.5 cm was considered enlarged.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>In the present series, a total of 70 cases were included over a period of 2 years. Enlarged utricle was found in 47\/70 (67.14%) on cystoscopy. They were wide-mouthed and negotiated 9 Fr\/11 Fr cystoscope with ease. Recurrent epididymo-orchitis, recurrent urinary tract infection, and obstructive features were the most common complications requiring intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>PUs in boys with hypospadias are enlarged as well as wide-mouthed. Most of these remain asymptomatic, but few of them carry the potential of complications. Cystoscopy helps in direct visualization of utricular anatomy, so it should be a preferred investigating modality for investigating a PU.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jiaps.jiaps_96_21","type":"journal-article","created":{"date-parts":[[2024,5,24]],"date-time":"2024-05-24T10:14:36Z","timestamp":1716545676000},"page":"387-390","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":6,"title":["Newer Insights into Prostatic Utricle in Proximal Hypospadias"],"prefix":"10.4103","volume":"27","author":[{"given":"Mamta","family":"Sengar","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Niyaz Ahmed","family":"Khan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yousuf","family":"Siddiqui","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anup","family":"Mohta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alisha","family":"Gupta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chhabi Ranu","family":"Gupta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-5-20240905","first-page":"307","article-title":"Hypospadias with enlargement of the prostatic utricle","volume":"86","author":"Howard","year":"1948","journal-title":"Surg Gynec Obst"},{"key":"R3-5-20240905","doi-asserted-by":"crossref","first-page":"407","DOI":"10.1016\/S0022-5347(17)55959-5","article-title":"Utricular configuration in hypospadias and intersex","volume":"123","author":"Devine","year":"1980","journal-title":"J Urol"},{"key":"R4-5-20240905","doi-asserted-by":"crossref","first-page":"334","DOI":"10.1111\/j.1464-410X.1985.tb06356.x","article-title":"Classification of enlarged prostatic utricle in patients with hypospadias","volume":"57","author":"Ikoma","year":"1985","journal-title":"Br J Urol"},{"key":"R5-5-20240905","doi-asserted-by":"crossref","first-page":"358","DOI":"10.1002\/ca.20759","article-title":"Morphological variations of prostatic utricle","volume":"22","author":"Oh","year":"2009","journal-title":"Clin Anat"},{"key":"R6-5-20240905","doi-asserted-by":"crossref","first-page":"199","DOI":"10.1007\/s003830050722","article-title":"Surgical management of enlarged prostatic utricle","volume":"16","author":"Meisheri","year":"2000","journal-title":"Pediatr Surg Int"},{"key":"R7-5-20240905","doi-asserted-by":"crossref","first-page":"492.e1","DOI":"10.1016\/j.jpurol.2017.01.019","article-title":"The prostatic utricle: An under-recognized condition resulting in significant morbidity in boys with both hypospadias and normal external genitalia","volume":"13","author":"Hester","year":"2017","journal-title":"J Pediatr Urol"},{"key":"R8-5-20240905","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1016\/j.anndiagpath.2005.02.006","article-title":"Clear cell adenocarcinoma of the prostatic utricle in an adolescent","volume":"9","author":"Gualco","year":"2009","journal-title":"Ann Diagn Pathol"},{"key":"R9-5-20240905","doi-asserted-by":"crossref","first-page":"423","DOI":"10.1111\/j.1464-410X.1986.tb09097.x","article-title":"Surgical treatment for enlarged prostatic utricle and vagina masculina in patients with hypospadias","volume":"58","author":"Ikoma","year":"1986","journal-title":"Br J Urol"},{"key":"R10-5-20240905","doi-asserted-by":"crossref","first-page":"1902","DOI":"10.1016\/S0022-5347(01)64898-5","article-title":"Endoscopic management of infected enlarged prostatic utricle and remnants of recto urethral fistula tracts of high imperforate anus","volume":"157","author":"Husmann","year":"1997","journal-title":"J Urol"},{"key":"R11-5-20240905","doi-asserted-by":"crossref","first-page":"e52","DOI":"10.1016\/j.urology.2020.09.005","article-title":"Cystoscopic management of prostatic utricles","volume":"149","author":"Babu","year":"2021","journal-title":"Urology"},{"key":"R12-5-20240905","doi-asserted-by":"crossref","first-page":"29","DOI":"10.4103\/0971-9261.54813","article-title":"Successful treatment of recurrent epididymo-orchitis: Laparoscopic excision of the prostatic utricle","volume":"14","author":"Jiwane","year":"2009","journal-title":"J Indian Assoc Pediatr Surg"},{"key":"R13-5-20240905","doi-asserted-by":"crossref","first-page":"557","DOI":"10.1007\/s00383-003-0993-6","article-title":"Laparoscopic excision of a prostatic utricle in a child","volume":"19","author":"Willetts","year":"2003","journal-title":"Pediatr Surg Int"}],"container-title":["Journal of Indian Association of Pediatric Surgeons"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jiaps.jiaps_96_21","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T19:36:50Z","timestamp":1787773010000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jiaps.jiaps_96_21"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,7]]},"references-count":12,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.4103\/jiaps.jiaps_96_21","relation":{},"ISSN":["0971-9261"],"issn-type":[{"value":"0971-9261","type":"print"}],"subject":[],"published":{"date-parts":[[2022,7]]}}}