PROXIMAL PROSTATIC CYST (Müllerian cyst)

Crosssection and longitudinal view of a median cyst at the basis of the prostate inthe median line, causing obstruction of the ejaculatory ducts by compression.
History: Age 23. 4 yrswith severe crampy pain at and some hours following ejaculation. Low ejaculatoryflow and sperm volume. Oligo-asthenospermia. No micturitional symptoms. NeverUTI. Drach-class: Prostatodynia. TRUS:Tender dilated seminal vesicles, slight tenderness over cyst.Therapy: Deroofing -> immediate relief of symptoms, improvementof spermiogram after 6 m.