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 for the Obstetrician and Gynecologist
Volume59
Issue number4
StatePublished - Aug 1 2014

Fingerprint

Diagnostic Errors
Cysts
Diverticulum
Bartholin's Glands
Primary Care Physicians
Vagina
Urethra
Fistula
Drainage
Urinary Bladder
Referral and Consultation

Keywords

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

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Reproductive Medicine

Cite this

Periurethral cystic mass misdiagnosed : A case report. / Woo, Irene; Birsner, Meredith L.; Chen, Chi Chiung Grace.

In: Journal of Reproductive Medicine for the Obstetrician and Gynecologist, Vol. 59, No. 4, 01.08.2014, p. 414-416.

Research output: Contribution to journalArticle

@article{a033de5f45974465836ad35b2cbac8b8,
title = "Periurethral cystic mass misdiagnosed: A case report",
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.",
keywords = "Bartholin’s gland, Periurethral cyst, Skene’s duct cyst, Urethral diverticulum, Vulvovaginal cyst",
author = "Irene Woo and Birsner, {Meredith L.} and Chen, {Chi Chiung Grace}",
year = "2014",
month = "8",
day = "1",
language = "English (US)",
volume = "59",
pages = "414--416",
journal = "The Journal of reproductive medicine",
issn = "0024-7758",
publisher = "Donna Kessel",
number = "4",

}

TY - JOUR

T1 - Periurethral cystic mass misdiagnosed

T2 - A case report

AU - Woo, Irene

AU - Birsner, Meredith L.

AU - Chen, Chi Chiung Grace

PY - 2014/8/1

Y1 - 2014/8/1

N2 - 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.

AB - 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.

KW - Bartholin’s gland

KW - Periurethral cyst

KW - Skene’s duct cyst

KW - Urethral diverticulum

KW - Vulvovaginal cyst

UR - http://www.scopus.com/inward/record.url?scp=84906924806&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84906924806&partnerID=8YFLogxK

M3 - Article

C2 - 25098033

AN - SCOPUS:84906924806

VL - 59

SP - 414

EP - 416

JO - The Journal of reproductive medicine

JF - The Journal of reproductive medicine

SN - 0024-7758

IS - 4

ER -