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This video shows a Prostatic utricle cyst (or utricular cyst) (PUC) and a Stone in the prostatic urethra with BPH. A simple cyst also called a prostatic retention cyst, is frequently observed in the gland as an isolated lesion surrounded by normal tissue. Such cysts are acquired due to the retention of prostatic secretions. Ultrasound features are anechoic content (less than 8 mm Ø) with thin and smooth walls or hairline septa.` Prostatic utricle cyst (or utricular cyst) (PUC) is an area of focal dilatation that occurs within the prostatic utricle. They are midline cystic masses in the male pelvis and may be difficult or impossible to distinguish from a Mullerian duct cyst. The prostatic cyst is a rare disease of the prostate with 0.5% to 7.9% prevalence. It is often asymptomatic and found accidentally with abdominal ultrasound, computerized tomography (CT), or magnetic resonance imaging (MRI). Prostatic cysts are mostly asymptomatic. Only 5% of prostatic cysts are symptomatic. Symptoms may include pelvic pain, hematospermia, infertility, voiding dysfunction, prostatitis-like syndrome, and painful ejaculation. Midline prostatic cysts are generally Mullerian duct or utriculus cysts. BPH is considered a normal condition of male aging, and many men older than 80 years have BPH symptoms. Although the exact cause is unknown, changes in male sex hormones that come with aging may be a factor. Any family history of prostate problems or any abnormalities with your testicles may raise your risk of BPH. The urethra runs through the center of the prostate, from the bladder to the penis, letting urine flow out of the body. The prostate secretes fluid that nourishes and protects sperm. During ejaculation, the prostate squeezes this fluid into the urethra, and it's expelled with sperm as semen. The prostatic urethra is the portion of the urethra that traverses the prostate. It originates in the region of the bladder neck, courses roughly 2.5 cm inferiorly, and terminates at the membranous urethra. Urethral calculi are preponderantly found in the prostatic urethra just proximal to the narrow membranous portion. These are either formed in the prostatic urethra or migrated from the upper urinary tract. They are usually small, but numerous cases of giant stones have been reported. Primary urethral (native) calculus is a rare form of urolithiasis and often associated with urethral diverticulum, stricture, or previous surgery. Secondary (migrating) calculi often originate from the kidney or bladder and were reported to be at least 10 times more common in occurrence than the primary stones. Urethral Calculus. Urethral calculi are preponderantly found in the prostatic urethra just proximal to the narrow membranous portion. These are either formed in the prostatic urethra or migrated from the upper urinary tract. They are usually small, but numerous cases of giant stones have been reported. Symptoms of a blocked urethra Abdominal pain. Continuous feeling of a full bladder. Frequent urination. Pain during urination (dysuria) Problems starting urination (urinary hesitancy) Slow, uneven urine flow, at times, being unable to urinate. Straining to urinate. Urinary tract infection.