Three female patients with a periurethral mass: from various complaints to rare pathology

Abstract

In this case report, we will discuss three cases of women diagnosed with a periurethral mass. The specific diagnosis of a periurethral mass can vary and includes rare diseases. Therefore, they provide a challenge to medical professionals. All patients underwent diagnostic evaluation with cystoscopy and pelvic MRI followed by surgical removal. Based on the MRI and pathology report, different diagnoses were made for each patient. The three diagnoses will be discussed: subpubic cartilaginous cyst, leiomyoma and clear cell adenocarcinoma of the urethra. Our case report is useful for other medical professionals, and they can evaluate how to optimal approach a periurethral mass.

Long-term follow up of paraurethral leiomyoma: A case report and literature review

“…Popov, et al 2021 [9] 42 Frequent urination and urgency 3 Transperineal (US) 10 Asymptomatic; follow-up period is not available Ritu verma, et all 2014 [25] 38 Enlarging perineal mass and dyspareunia for three years Transperineal and transvaginal USG Cystourethroscopy 25 The postoperative course was uneventful. Amine Slaoui, et al 2015 [21] 52 Dysuria and urinary tract infection and feeling of nodulation in her vagina 2,5 MRI 2 Asymptomatic; follow-up period is not available Paolo Fedelini, et al 2018 [22] 40 Hematuria, dysuria, recurrent urinary tract infections and dyspareunia 6 (USG) MRI urethroscopy 7 Followed-up for 6/12; no issues Xia Wang, et al 2022 [23] 44 48 36 Frequency, urethral meatus mass, dysuria anterior vaginal wall mass, dyspareunia anterior vaginal wall mass 2.5 4 2.5 Ultrasound N/a Not available Marjon D. Viester, et al 2020 [24] 28 Urinary frequency and urgency 3.7 Cystoscopy MRI N/a symptoms have resolved. Junior de Lima, et al 2014 [20] 52 Hematuria, dyspareunia, and feeling of nodulation in the vagina for 2 years 2 Flexible cystoscopy 10 Symptoms resolved BOO, bladder outlet obstruction; PVR, post void residual urine test; MRI, magnetic resonance imaging; US, ultrasound; IR, interventional radiology; USG, NA, not available.…”

Quistes cartilaginosos del pubis: diagnóstico radiológico

“…El diagnóstico diferencial se realiza con lesiones quísticas en la zona perineal 8 , como divertículos uretrales o quistes de las glándulas de Skene, de Bartolino o de Gartner, fáciles de diferenciar por su localización y por la ausencia de contenido, salvo complicación. Además, se deben descartar abscesos y lesiones o neoplasias procedentes del clítoris, la uretra o la vagina, así como de elementos óseos o cartilaginosos adyacentes, como condrosarcomas u otro tipo de sarcomas, sin olvidar la posibilidad de metástasis.…”