Objective: To assess the value of transrectal ultrasonography (TRUS) in the diagnosis of midline prostatic cysts.

Methods: We retrospectively analyzed the TRUS manifestations of 87 cases of midline prostatic cysts.

Results: Of the total number, 33 cases were diagnosed as Müllerian duct cysts, 21 cases ejaculatory duct cysts and the other 33 cases undifferentiated midline prostatic cysts; 19 cases had dilated seminal vesicles, 19 seminal vesicle agenesis, 9 seminal vesiculitis and 5 dilation of the ejaculatory duct.

Conclusion: TRUS, convenient, sensitive, safe and non-invasive, is a desirable method for the diagnosis of midline prostatic cysts.

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