Abstract
We present a 29-year-old man with non-inflammatory symptoms of the lower urinary tract (LUTS: testicular pain, difficulty urinating, dysuria, decrease in urine flow). As the cause of LUTS, a paraurethral cystic formation in the corpus spongiosum bulbar urethra was diagnosed by performed examinations (ultrasonographically, urethrocystoscopically, urethrographically and by computed tomography).
After the primary percutaneous needle biopsy, there was a relapse, which was successfully cured by classical surgical extirpation. The patient healed uncomplicatedly after the operation.
Three months after the operation, he was without subjective LUTS and in the follow-up transperineal ultrasonography, neither persistence nor recurrence of the cystic formation in the spongy body of the bulb was found. The patient's condition is currently stable for 3 years.
The patient is permanently under the care of a urologist, there are no manifestations of infection in the urine, nor subvesical obstruction (uroflowmetry, ultrasonography of urine residues).