treatment of paraurethral cysts in female patients – description of three cases

Introduction. Paraurethral cyst-like structures are quite common and affect from 1% to 6% of the female population between 20 and 60 years of age. Urethral diverticula account for approximately 80% of paraurethral cyst-like lesions. Paraurethral cysts are considerably less frequent. Because of their usually asymptomatic character, paraurethral cysts are rarely diagnosed and treated, and reports available in databases are relatively scarce. However, the presence of cysts may cause recurrent genitourinary symptoms. Symptomatic cysts are an indication for surgical treatment. The aim of the paper is to present our own material concerning the treatment of this disease. Material and methods. Three patients with paraurethral cysts, reporting symptoms such as dysuria, dyspareunia, and periodical pains in the region of external genitals were hospitalized in our department between 2005 and 2008. All patients underwent surgical resection of the cysts by vaginal approach. results. Sustained lack of symptoms was obtained in all patients. Histopathology of the excised lesions confirmed the diagnosis of simple cysts lined with stratified squamous epithelium. No rare complications described in literature were noted. Conclusions. The results of this study are consistent with the few existing literature reports. In the case of symptomatic paraurethral cysts, a relatively simple surgical procedure, associated with low risk of postoperative complications, leads to a complete cure. fig. 1. MRI showing location of a cyst and its relation to the surrouding structures. B: bladder; C: paraurethral cyst; U: urethra.