Romero RR, Rodríguez CS, Escobar BL, Gorbea CV

Language: Spanish
References: 10
Page: 160-164
PDF size: 85.99 Kb.

ABSTRACT

Suburethral cysts are rare, are formed from remnants of embryonic or blockage of the paraurethral glands, whose location in more than 85% of cases are found in the proximal two thirds and posterior and lateral to the urethra. The diagnosis is clinical and radiological studies are needed to demonstrate the absence of communication with the urethra. Once the diagnosis of suburethral cyst, surgery is the treatment of choice. Before its resection, the presence of a urethral diverticulum. Urethral injury is the most common surgical risk, as noted during surgery must be repaired immediately. So far it has not been reported urethra-vaginal fistula as a complication after repair.
The present patient had a cyst in the distal third of Suburethral 4 x 2cm, a 6-month follow-up remained asymptomatic, with no postoperative complication. The pathology reported wall 3 x 2.2cm with a thickness of 0.3cm, greyish, irregular, soft consistency. Microscopically identified transitional epithelium and foci of squamous metaplasia and focal chronic inflammation. According to the histopathological report, the transitional epithelium indicates the cyst Skene.

REFERENCES

1. Reyes GM, Reyna PR, Sánchez OJ, García MS. Quistes parauretrales. Presentación de dos casos y revisión de la literatura. Rev Mex Urol 2000;60(2):87-91.

2. Soria GR, González A, Jaspersen J. Quistes parauretrales. Reporte de 19 casos y revisión de la literatura. Rev Mex Urol 2005;65(1):60-65.

3. Kimbrough H, Vaughan D. Skene’s duct cyst in a newborn: case report and review of the literature. J Urol 1997:117;387.

4. MacLennan G. Unusual female suburethral mass lesion. Am J Urol 2005;174:1106.

5. Satani H, Yoshimura N, Hgayashi N. Arima K, Yanagawa M, Kawamura. A case of female paraurethral cyst diagnosed as epithelial inclusion cyst. Hinyokika Kiyo 2000;46(3):205-7.

6. Schulunt K, Raz S. Benign cystic lesions of vagina: a literature review. J Urol 2003;170:717-22.

7. Chapple C, Patel A. Female urethral diverticula. Curr Opin Urol 2006;16:248-54.

8. Cross JJ, Fynes M, Berman L, Perera D. Prevalence of cystic paraurethral structures in asymptomatic women at endovaginal and perineal sonography. Clin Radiol 2001;56(7):575-8.

9. Solano S, Velásquez MP, Kunhardt J. Cambios funcionales en la uretra secundarios al parto vs cesárea. Demostración con perfilometria dinámica. Ginecol Obstet Mex 2006;74:193-8

10. Ceylan H, Ozokutan BH, Karakom M, Buyukbese S. Paraurethral cyst: is conservative management always appropriate? Eur J Pediatr Surg 2002;12(3):212-4.