Periurethral cystic mass misdiagnosed: A case report

Irene Woo, Meredith L. Birsner, Chi Chiung Grace Chen

Research output: Contribution to journalArticle

Abstract

BACKGROUND: Periurethral cystic masses, including Skene’s duct cyst and urethral diverticula, are rare and are often misdiagnosed for more common vulvovaginal cysts. Given their proximity to the urethra, correct diagnosis is needed for appropriate referral and surgical management to prevent complications, including fistula formation. CASE: A 36-year-old woman was diagnosed by her primary care physician with a Bartholin’s gland cyst, which was confirmed on MRI. She was referred to a gynecologist for incision and drainage. However, on examination the cyst was noted to be more anterolateral on the vagina and more concerning for a Skene’s duct cyst or a urethral diverticulum. She was referred to Urogynecology. The images were reviewed with the radiologist, who agreed that the lesion was more consistent with a Skene’s duct cyst. She underwent successful excision of the cyst. The patient had an uncomplicated postoperative course and has normal bladder and urethral function. CONCLUSION: Although imaging modalities are useful to assist in diagnosis of vulvovaginal lesions, clinical examination finding is also key in distinguishing periurethral cystic masses from their more common vulvovaginal counterparts.

Original languageEnglish (US)
Pages (from-to)414-416
Number of pages3
JournalJournal of Reproductive Medicine
Volume59
Issue number4
StatePublished - Aug 2014

Keywords

  • Bartholin’s gland
  • Periurethral cyst
  • Skene’s duct cyst
  • Urethral diverticulum
  • Vulvovaginal cyst

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynecology

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