Kumari Rajesh, Sharma J B, Agrawal Mohini, Bhatla Neerja
Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, Room No. 3082, 3rd Floor, Teaching Block, New Delhi, 110029 India.
J Obstet Gynaecol India. 2025 Apr;75(Suppl 1):9-13. doi: 10.1007/s13224-024-01964-y. Epub 2024 Mar 25.
The objective of this study was to study the different clinical presentation of symptomatic vaginal masses and outcomes of patients with important implications for surveillance, monitoring and management.
This was a retrospective chart review of 20 patients at a tertiary care centre with symptomatic vaginal masses other than prolapse presented between May 2021 and October 2023. Patients were included if they had symptomatic vaginal masses other than prolapse and underwent treatment for the same. Data were analysed by statistical software Stata 14.0. Descriptive statistics were computed to summarize the frequency of demographic and clinical variables. Quantitative variable expressed as mean ± SD (standard deviation) and median (minimum-maximum). Categorical variable expressed as frequency and percentage.
The median age of the patients included in the analysis was 39.5 years old. A total of 15 patients underwent surgical management, which included vaginal excision or marsupialization, and 5 were conservatively managed. Presenting symptoms included feeling of a mass or bulge in 12 (60%) of patients, urinary complaint ( = 7; 35%) and dyspareunia ( = 1; 5%). Preoperative imaging studies were obtained in 19 patients; ultrasound was used in 95%, magnetic resonance imaging in 25%, computed tomographic scanning in 15% and multiple modalities in 20%. No patients were found to have other genitourinary anomalies. The average cyst size was 4.5 cm (range, 3-15 cm). Surgical excision was done in 15 cases except for 1 case of marsupialization. Histopathological examination showed that 2 solid masses had leiomyoma, seven patients had Gartner duct cyst and six patients reported Bartholin cyst. The median follow-up was 12 months (range, 3-21 months). During the follow-up period, one patient had persistent stress urinary incontinence (SUI), and the other one had persistent urinary urgency incontinence (UUI). Remaining patients were freed from preoperative presenting symptomatology. Neither had recurrence of the mass nor any complications were observed during the follow-up.
Vaginal masses are rare and often asymptomatic, but may present with varied clinical symptoms. They can be managed conservatively and surgically with good outcome. Follow-up is very essential to understand different clinical symptoms of vaginal masses.
本研究的目的是探讨有症状的阴道肿物的不同临床表现以及对监测、管理具有重要意义的患者结局。
这是一项对2021年5月至2023年10月期间在一家三级医疗中心出现除脱垂外有症状阴道肿物的患者进行的回顾性病历审查。纳入标准为有除脱垂外的有症状阴道肿物并接受了相应治疗的患者。数据采用统计软件Stata 14.0进行分析。计算描述性统计量以总结人口统计学和临床变量的频率。定量变量以均值±标准差（SD）和中位数（最小值 - 最大值）表示。分类变量以频率和百分比表示。
纳入分析的患者中位年龄为39.5岁。共有15例患者接受了手术治疗，包括阴道切除术或袋形缝合术，5例接受了保守治疗。主要症状包括12例（60%）患者有肿物或隆起感，7例（35%）有泌尿系统症状，1例（5%）有性交困难。19例患者进行了术前影像学检查；95%使用了超声，25%使用了磁共振成像，15%使用了计算机断层扫描，20%使用了多种检查方式。未发现患者有其他泌尿生殖系统异常。囊肿平均大小为4.5厘米（范围为3 - 15厘米）。除1例袋形缝合术外，15例进行了手术切除。组织病理学检查显示，2例实性肿物为平滑肌瘤，7例为加特纳管囊肿，6例为巴氏腺囊肿。中位随访时间为12个月（范围为3 - 21个月）。随访期间，1例患者持续存在压力性尿失禁（SUI），另1例患者持续存在急迫性尿失禁（UUI）。其余患者术前症状消失。随访期间未发现肿物复发或任何并发症。
阴道肿物罕见且通常无症状，但可能表现出多种临床症状。可通过保守治疗和手术治疗取得良好效果。随访对于了解阴道肿物的不同临床症状非常重要。
