Vaginal cysts: An important differential diagnosis in the anterior compartment

Esber, A; Radosa, MP; Wickel, Jana; Mothes, Henning; Runnebaum, Ingo B.; Mothes, A

doi:10.1016/j.ejogrb.2021.11.422

Cited by 5 publications

(6 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…2 Gartner duct cysts are usually located on the anterolateral walls of the vagina, although large cysts can appear midline. 2,6 Histologically, Gartner duct cysts are lined by nonmucinous cuboidal or low columnar epithelium. 6 Gartner duct cysts can also be associated with urologic anomalies, such as ectopic ureter, unilateral renal agenesis, renal hypoplasia, or müllerian anomalies.…”

Section: Commentmentioning

confidence: 99%

“…3 If symptomatic or recurrent, surgical management with excision or marsupialization of the Gartner duct cyst is indicated. 2,3 A cyst wall biopsy should be performed in patients older than age 40 years to exclude malignancy, because malignant transformation has been reported. 2,5 A retrospective, longitudinal chart review evaluating postoperative outcomes in 29 patients who underwent either surgical excision or marsupialization found that either surgical procedure was associated with a 35–37-minute operative time without admission to the hospital when no other concomitant procedures were performed.…”

Section: Commentmentioning

confidence: 99%

“…However, patients can present with a palpable vaginal mass, vaginal pressure, dyspareunia, or voiding dysfunction, such as retention or obstruction. 2 Gartner duct cysts are usually located on the anterolateral walls of the vagina, although large cysts can appear midline. 2,6 Histologically, Gartner duct cysts are lined by nonmucinous cuboidal or low columnar epithelium.…”

Section: Commentmentioning

confidence: 99%

“…Gartner duct cysts develop from remnants of the mesonephric (Wolffian) ducts and can be diagnosed by physical examination and imaging as needed. 1,2 They are usually small and asymptomatic, but symptoms may include vaginal pressure or dyspareunia in conjunction with an anterolateral cystic vaginal mass. 2 Complications of Gartner duct cysts are rare, but malignant transformation, pelvic pressure and pain, infection, and mass effect that can result in difficulty with or inability to urinate or defecate have been reported.…”

mentioning

confidence: 99%

“…1,2 They are usually small and asymptomatic, but symptoms may include vaginal pressure or dyspareunia in conjunction with an anterolateral cystic vaginal mass. 2 Complications of Gartner duct cysts are rare, but malignant transformation, pelvic pressure and pain, infection, and mass effect that can result in difficulty with or inability to urinate or defecate have been reported. 3–5 We present a unique case of a patient with abrupt-onset pelvic pain and urinary retention with a new vaginal mass.…”

mentioning

confidence: 99%

See 4 more Smart Citations

Acute Pelvic Pain Due to Spontaneous Hemorrhage of a Gartner Duct Cyst

Quinto

Huff

Page-Ramsey

2022

Obstetrics &Amp; Gynecology

View full text Add to dashboard Cite

BACKGROUND: Gartner duct cysts develop from mesonephric duct remnants. They are usually small and asymptomatic, but complications can arise and are uncommonly reported. CASE:A 44-year-old patient presented with acute pelvic pain and pressure, a new vaginal mass, and urinary retention. Examination and magnetic resonance imaging revealed a large, expanding, complex paravaginal mass with extension into the paracervical and ischiorectal spaces, causing cephalad displacement of the uterus. A vaginal approach to cyst incision, hemorrhage control, and marsupialization resulted in complete resolution of symptoms. Pathology demonstrated a Gartner duct cyst without evidence of malignancy.CONCLUSION: Spontaneous hemorrhage of a Gartner duct cyst, although rare, may cause acute symptoms and a new vaginal mass. This diagnosis should be considered in the evaluation of acute-onset pelvic pressure and pain.

show abstract

Section: Commentmentioning

confidence: 99%

Section: Commentmentioning

confidence: 99%

Section: Commentmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

See 3 more Smart Citations

Acute Pelvic Pain Due to Spontaneous Hemorrhage of a Gartner Duct Cyst

Quinto

Huff

Page-Ramsey

2022

Obstetrics &Amp; Gynecology

View full text Add to dashboard Cite

show abstract

Surgical management of bladder outlet obstruction due to functional and anatomical etiologies in women

Dequirez,

Wasserman,

Brucker

2024

Neurourology and Urodynamics

View full text Add to dashboard Cite

IntroductionBladder outlet obstruction (BOO) in women includes functional and anatomic etiologies. Primary bladder neck obstruction (PBNO), Fowler's syndrome (FS), and dysfunctional voiding (DV) are some examples of functional obstructions, whereas pelvic organ prolapse (POP), periurethral masses, and intragenic causes are some of the anatomic causes.MethodsThis literature review describes the etiologies of female BOO, unique aspects of the workup and diagnosis, and the data for the standard surgical treatments and newer surgical techniques to treat women. Urethral stenosis and sling‐related obstruction are treated in the other articles of this series. Where possible the focus is the efficacy and outcomes.ResultsTreatment of PBNO using a transurethral incision of the bladder neck and injection of botulinum toxin in the bladder neck decreases the BOO. After the failure of conservative approaches, sacral neuromodulation (SNM) is effective for FS, while DV may benefit from SNM or botulinum toxin injections. Concerning POP, most surgeries have been reported to significantly improve a pre‐existent BOO but the level of evidence is low. Benign urethral and periurethral masses may provoke BOO, and surgical excision usually resolves this condition.ConclusionAlthough most surgical treatments of BOO for functional and benign anatomical etiologies in women seem to be effective, data are scarce even for more common conditions like POP. Further studies are required to give better advice on the choice of surgical technique for these patients.

show abstract