No abstract

In women aged from 20 up to 60 years paraurethral cysts occur in 1–6%. In most cases, the clinical course of paraurethral cysts is asymptomatic, so their diagnosis can cause difficulties. Women who have paraurethral cysts may complain of pain, dyspareunia, and urinary disorders. The size of a cyst more than 2 cm can affect the quality of patient’s life, and very often causes symptoms of the lower urinary tract, including obstructive ones. Paraurethral cysts need to be differentiated other perineal formations. This article presents a review of the literature on the etiology, clinical course and diagnosis of paraurethral cysts. The main points of differential diagnosis of paraurethral cyst with urethral diverticulum, adenocarcinoma are also consecrated. Taking into consideration the anatomical location and the specifics of the treatment of paraurethral cysts, this problem has an interdisciplinary nature and requires the attention of specialists such as: urologist, gynecologist, surgeon.

Our study was aimed to identify the types of benign urethral lesions in 92 women of reproductive age. Methods. We performed a physical examination and assessment of the external and internal genitals employing laboratory diagnostic methods, ultrasonography (transvaginal and transperineal scanning), and magnetic resonance imaging (MRI) in all women. Results. Asymptomatic benign benign urethral lesions of the paraurethral region were detected in 22.8% of women. The remaining 2/3 of the patients complained of dysuria and a sensation of a foreign body in the perineum. The most common complaints and clinical manifestations were predominantly observed in the women within one year after childbirth (72.8%). Conclusions. Our findings on the types of benign urethral lesions were 56 urethral diverticula (60.8%) and 34 paraurethral cysts (37.1%). Most such lesions are more likely to occur in the first years after childbirth, so it is necessary to invite women for a pelvic exam during this period. K E y w o r d s-benign urethral lesions, urethral diverticulum, paraurethral cyst, dysuria, dyspareunia.

Paraurethral cysts develop on the site of the paraurethral glands (Skin glands), and are a fairly rare pathology in women. The clinical course of paraurethral cysts is often asymptomatic. However, with an increase in the size of the cyst, women have complaints of frequent urination, dyspareunia, painful sensations in the perineum. Persistent microflora contributes to the aggravation of symptoms, up to the formation of an abscess. With inflammation of the paraurethral cyst, there is still no clear treatment algorithm. In this article, we present an observation of a 29‑year‑old woman with signs of an infected paraurethral cyst. We believe that the administration of antimicrobial drugs to women with signs of skinitis in combination with lower urinary tract infection is necessary for the purpose of preoperative preparation. Surgical treatment of an infected paraurethral cyst consisted of opening the abscess, followed by laser ablation of the inner surface of the cyst capsule. In the postoperative period, the patient also received antimicrobial therapy. We did not detect a recurrence of the paraurethral cyst, observing the patient for 1 year. Conclusion. Combined treatment (a combination of medical and surgical treatment) of an infected paraurethral cyst demonstrates high efficiency.

HIFU shows a successful treat ment for localized prostate cancer. Here we exp lored the effectiveness of the HIFU treatment for the prostate cancer, hormone-resistant prostate cancer and failu re after external beam rad iotherapy and radical prostatectomy. 795 patients were treated in our centre in 2007 -2012: Kap lan-Meir analyses of the total group indicated that the risk of progression was 23% after 5 years of follow-up. Our experience shows that HIFU ablation is safe, minimally invasive, effect ive treat ment with moderate side effects for the PC, hormone-resistant prostate cancer, HIFU also may be used as a salvage therapy.