Prakash Gaurav, Karan Shreya, Sankhwar Satya Narayan, Karan Sangeeta
Department of Urology, King George's Medical University, Lucknow, Uttar Pradesh, India.
Department of Gynecology and Obstetrics, Park Clinic Dhanbad, Jharkhand, India.
Urol Ann. 2016 Oct-Dec;8(4):509-511. doi: 10.4103/0974-7796.192088.
Paraurethral cyst is a benign cystic disorder of anterior vaginal wall. Many secondary complications have been described in literature, but stone formation in the cyst is a rare phenomenon. We are reporting a case of a 35-year-old multiparous woman who presented with lower urinary tract symptoms, dysuria, and dyspareunia. She was diagnosed as a case of the paraurethral cyst with stones and was managed successfully. Various differential diagnoses have been suggested, most important being urethral diverticulum, ruled out by urethroscopy. Many imaging modalities have been described, but physical examination plays the key role in reaching the diagnosis of stone. For definitive management incision over the cyst with stone removal followed by marsupialization is performed to prevent recurrence.
尿道旁囊肿是阴道前壁的一种良性囊性疾病。文献中描述了许多继发性并发症,但囊肿内形成结石是一种罕见现象。我们报告一例35岁经产妇,表现为下尿路症状、排尿困难和性交困难。她被诊断为伴有结石的尿道旁囊肿,并得到成功治疗。已经提出了各种鉴别诊断,其中最重要的是尿道憩室,通过尿道镜检查排除。已经描述了许多影像学检查方法,但体格检查在结石诊断中起关键作用。对于确定性治疗,在囊肿上切开并取出结石,随后行袋形缝合术以防止复发。