ArticleCase reports in urology2026
Spontaneous Pregnancy After Surgical Correction of a Prostatic Utricle Cyst and Recurrent Varicocele: A Case Report.
Article in Case reports in urology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Prostatic utricle cysts are rare congenital anomalies arising from incomplete regression of the Müllerian ducts that may cause partial or complete ejaculatory duct obstruction, leading to hypospermia, abnormal semen parameters and even azoospermia in severe cases. Recurrent varicocele after previous surgical repair represents an additional challenge in the management of male infertility. Here, we report a case of spontaneous pregnancy achieved after combined surgical correction of a prostatic utricle cyst and recurrent left-sided varicocele in a couple not yet meeting the formal 12-month criteria for infertility, illustrating the diagnostic and therapeutic considerations relevant to this clinical scenario. Case Presentation: A 27-year-old man with a history of bilateral microsurgical varicocelectomy in 2018, persistent hypospermia (ejaculate volume 0.1-0.5 mL), reduced sperm motility (8%-24% progressive motility) and abnormal strict Kruger morphology (1%-3%) was evaluated together with his 35-year-old partner after 6 months of attempting natural conception. Scrotal Doppler ultrasonography confirmed recurrent left-sided varicocele, and pelvic magnetic resonance imaging revealed a prostatic utricle cyst measuring 1.6 × 1.0 cm. The female partner had no relevant abnormalities on complete gynaecological evaluation. The male partner underwent transurethral resection of the prostatic utricle cyst combined with subinguinal microsurgical redo varicocelectomy in a single surgical session without complications. Two months postoperatively, spontaneous clinical pregnancy was confirmed, and two semen analyses performed 4 months after surgery showed normalisation of all seminal parameters. Conclusions: This case highlights the importance of comprehensive andrological evaluation, including imaging studies, in couples with a pre-existing, known male-factor abnormality, even when formal infertility criteria are not yet met. Prostatic utricle cysts should be considered in the differential diagnosis of obstructive male infertility, particularly in patients with unexplained hypospermia. In this case, combined correction of coexisting reproductive tract abnormalities was followed by normalisation of postoperative semen parameters and a favourable reproductive outcome; because semen analysis was performed only after conception had already occurred, a causal relationship with the pregnancy itself cannot be definitively established, but the findings support a positive physiological effect of surgery. Surgical reintervention for recurrent varicocele remains justified in selected patients with persistently abnormal semen parameters.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.