Experience of surgical treatment of paraurethral cysts

D. Y. Pushkar; Пушкарь Д. Ю.; D. Y. Dyakov; Дьяков Д. Ю.; B. N. Godunov; Годунов Б. Н.; L. M. Gumin; Гумин Л. М.

doi:10.17816/JOWD87494

Experience of surgical treatment of paraurethral cysts

Authors: Pushkar D.Y.¹, Dyakov D.Y.¹, Godunov B.N.¹, Gumin L.M.¹
Affiliations:
1. Moscow State University of Medicine and Dentistry
Issue: Vol 54, No 5S (2005)
Pages: 75-75
Section: Reviews
URL: https://journals.eco-vector.com/jowd/article/view/87494
DOI: https://doi.org/10.17816/JOWD87494
ID: 87494

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Abstract

Introduction and objectives. Paraurethral cysts which can be refered to nonmalignant cystic lesions of vagina are often found in urogynecologic practice. At the same time such rare pathology as diverticulum of urethra with the same symptoms can be diagnosed. The main symptoms of cysts are inflammation, pain, dyspareunia and obstructive voiding. It often requires surgical treatment. The world experience confirms that extirpation of paraurethral cysts is much more preferable than marsupialization because is more radical.

Keywords

surgical treatment of paraurethral cysts, paraurethral cyst, benign cystic lesions of the vagina, cyst, cyst extirpation

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Material and methods. We investigated 67 female patients in the age of 21-55 years after paraurethral cyst extirpation, performed in 2001-2004. All operations were conducted under general anesthesia; operative time was 35-80 min. The duration of operation depended on the dimensions of the cyst to be ablated as well as on the degree of inflammation changes of circumjacent tissues. It should be noted that during the operation the urethra was

dissected in 19 patients. Within the postoperative period the urethral catheter was indwelled for 1-12 days.

Results. In the postoperative period the patients were treated by standard antimicrobial therapy. All patients left the hospital after 3-14 days since the operation with normal urination and absence of residual urine. The follow-up period was 12-24 months. Pain symptoms relieved after 2-3 weeks from the operation, by the same time the patients resumed sexual activity. There were no signs of obstructive micturition in patients with such symptom, diagnosed preoperatively. Conclusions. Paraurethral cysts with the symptoms of inflammation, pain, dispareunia, obstructive voiding require surgical treatment. In surgical treatment of paraurethral cysts the extirpation is more preferable method due to the radicalism. The defect of the urethra is not a serious intraoperative complication and requires long term drainage of the bladder in the postoperative period.