Academic Journal

Surgical management of female paraurethral cyst with concomitant stress urinary incontinence

التفاصيل البيبلوغرافية
العنوان: Surgical management of female paraurethral cyst with concomitant stress urinary incontinence
المؤلفون: Tarik Yonguc, Ibrahim Halil Bozkurt, Salih Polat, Serkan Yarimoglu, Ismail Gulden, Volkan Sen, Suleyman Minareci
المصدر: International Brazilian Journal of Urology, Vol 43, Iss 6, Pp 1194-1194
بيانات النشر: Sociedade Brasileira de Urologia.
المجموعة: LCC:Diseases of the genitourinary system. Urology
مصطلحات موضوعية: Diseases of the genitourinary system. Urology, RC870-923
الوصف: ABSTRACT Paraurethral cysts are usually asymptomatic and frequently detected incidentally during routine pelvic examination, however, patients can present with complaints of a palpable cyst or with lower urinary tract symptoms (LUTS) and also dyspareunia. In most cases, diagnosis can be made on physical examination but for more detailed evaluation and to differentiate from malign lesions ultrasonography (US), voiding cystourethrogram (VCUG), computerized tomography (CT), or magnetic resonance imaging (MRI) can also be used. Management of symptomatic paraurethral cyst is surgical excision. In this video our objective is to show the surgical management of female paraurethral cyst with concomitant stress urinary incontinence (SUI). A 37 year-old woman presented with an 8-year history of progressive urinary symptoms, consisting of dysuria, urinary frequency, urgency urinary incontinence, SUI and dyspareunia. Physical examination in the lithotomy position revealed a cystic lesion located in the left anterolateral vaginal wall. Also cough stress test for SUI was positive. Her preoperative ICI-Q, UDI-6, IIQ-7 and SEAPI scores were 16, 8, 9 and 18 respectively. Vaginal US revealed a solitary 2 cm paraurethral cyst, localized in the distal urethra. Pelvic MRI also revealed a benign cystic lesion in the distal urethra. The patient underwent surgical excision of the cyst and anterior colporrhaphy for SUI. At third month visit the patient was very satisfied. The ICI-Q, UDI-6, IIQ-7 and SEAPI scores were 0. Sometimes the LUTS concurring with the parauretral cyst can be dominant. Herein we want to show that extra surgical procedures can be necessary with paraurethral cyst excision for full patient satisfaction.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 1677-6119
1677-5538
Relation: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382017000601194&lng=en&tlng=en; https://doaj.org/toc/1677-6119
DOI: 10.1590/s1677-5538.ibju.2014.0582
URL الوصول: https://doaj.org/article/da0f1862847c4ebeb16f38851761cbb5
رقم الانضمام: edsdoj.0f1862847c4ebeb16f38851761cbb5
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:16776119
16775538
DOI:10.1590/s1677-5538.ibju.2014.0582