Midline Intraprostatic Cyst: An Unusual Aetiology of Urinary Tract Infection and Epididymo-orchitis

摘要

A 33-year-old man presented with primary complaint of dysuria and unilateral discomfort of right testis. On examination, the right scrotum was erythematous and the patient was febrile. Digital rectal examination revealed a midline swelling. The patient was found to be in sepsis.Initial evaluation of urine microscopy, culture and testicular ultrasound confirmed the diagnosis of infective epididymo-orchitis with the urine showing the presence of Escherichia coli. Uroflow studies revealed minimal obstruction (Fig. 1) with no residual volume. Subsequent transrectal ultrasonography (TRUS) (Fig. 2) and magnetic resonance imaging (MRI) (Fig. 3) of the pelvis documented the presence of a midline intraprostatic cyst (4 cm x 4 cm x 5 cm) on the left posterior lobe. Semen analysis revealed azoospermia. However, the patient was single at the time of presentation, so fertility was not his primary concern.