Paraurethral cyst

Abstract

Introduction: There are different tumor lesions that can arise in the lower genital tract, they can be cystic or solid and of different etiologies. Objective: To describe the clinical picture, diagnosis and treatment of a patient with a tumor in the lower genital tract. Case presentation: A 60-year-old woman reported urinary incontinence and a painful mass in the vagina, which protruded through the vaginal introitus. She also presented difficult micturition. On inspection, a tumor was observed at the level of the lower third, anterior wall of the vagina, with an approximate diameter of 5 cm, which exceeded the vulvar plane. Surgical excision of the lesion was performed and the pathological anatomy report described: cystic formation covered by non-keratinized squamous epithelium, containing 8 calcifications in the form of calculus. Findings compatible with paraurethral cyst. Conclusions: Paraurethral cysts have a negative impact on the quality of life of patients due to the symptoms they can produce (pain, dyspareunia and micturition disorders), which aggravate anxiety and depression associated with urinary incontinence. There are several lesions with a similar clinical picture to that of paraurethral cysts, which forces the physician to establish an appropriate differential diagnosis, thereafter, to draw a personalized treatment strategy. The most commonly used treatment is surgical and postoperative evolution is favorable.