Korean J Urol.  2008 Aug;49(8):762-763.

Paraurethral Cyst Discovered in Misdiagnosed Urethral Diverticulum of an Adult Female

• Han KS
• Sung W
• Jeon SH
• Yoo KH

Abstract

A paraurethral cyst is a rare congenital or acquired abnormality in females that is characterized by a round, yellow or orange-colored cystic mass on either side of the urethral meatus. We report a patient who presented with frequent, postvoiding dribbling. The important differential diagnostic considerations in infants and adults are an ectopic ureterocele, urethral diverticulum, cystocele and paraurethral tumors. Intravenous pyelography, voiding cystourethrogram, cystourethroscopy are essential for differentiating these lesions. This case of a paraurethral cyst was treated with complete excision.

Keyword

Paraurethral cyst; Urethra; Diverticulum

MeSH Terms

Adult
Cystocele
Diverticulum
Female
Humans
Infant
Ureterocele
Urethra
Urography

Figure

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  Fig. 1 Paraurethral cyst located at 6 o'clock of the external meatus.

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  Fig. 2 On magnetic resonance imaging (MRI), T2W1 axial view, 3.1×2.9×1.2cm sized high attenuation lobulating cystic mass is noted on the anterior portion of the mid portion of the vagina. This MRI finding shows no communication between the lesion and urethra.

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  Fig. 3 Microscopically, sections disclose a portion of urethra showing a cyst structure lined by stratified squamous epithelium (×400).

Reference

1. Sharifi-Aghdas F, Ghaderian N. Female paraurethral cysts: experience of 25 cases. BJU Int. 2004. 93:353–356.

2. Huffman JW. The detailed anatomy of the paraurethral ducts in the adult female. Am J Obstet Gynecol. 1948. 55:86.

3. Kimbrough HM Jr, Vaughan ED Jr. Skene's duct cyst in a newborn: case report and review of the literature. J Urol. 1977. 117:387–388.

4. Blaivas JG, Pais VM, Retik AB. Paraurethral cysts in female neonate. Urology. 1976. 7:504–507.

5. Klauber GT, Crawford DB. Prolapse of ectopic ureterocele and bladder trigone. Urology. 1980. 15:164–166.

6. Abd-Rabbo MS, Atta MA. Aspiration and tetracycline sclerotherapy: a novel method for management of vaginal and vulval Gartner cysts. Int J Gynaecol Obstet. 1991. 35:235–237.

7. Lucente V, Benson JT. Vaginal mullerian cyst presenting as an anterior enterocele: a case report. Obstet Gynecol. 1990. 76:906–908.

8. Kaufman RH, Gardner HL. Tumors of the vulva and vagina. Benign mesodermal tumors. Clin Obstet Gynecol. 1965. 8:953–958.

9. Nussbaum AR, Lebowitz RL. Interlabial masses in little girls: a review and imaging recommendations. AJR Am J Roentgenol. 1983. 141:65–71.

10. Hong SJ, Kim HJ, Park YK. Two case of female urethral diverticula. Korean J Urol. 1989. 30:969–971.