Kadın anterior vajina duvarının iyi huylu kitleleri

Year 2022, , 322 - 327, 30.06.2022

Osman Köse , Osman Köse , Yavuz Tarık Atik , Koray Gök , Mehmet Sühha Bostancı , Selçuk Özden

https://doi.org/10.31832/smj.1090765

Abstract

Objective: This study aims to point out reliable diagnosis and correct treatment for rare benign perivaginal masses.
Material and Methods: The diagnosis, treatment, histology, and postoperative management were summarized and analyzed by an operation due to benign AVM from the medical records of Sakarya University Training and Research Hospital Urology and Urogynecology clinics between the years 2020-2021.
Results: The mean age of the patients was 46.2 years. Among the patients included in the study, 80% had dyspareunia, 50% had dysuria and urgency, and 40% had sensation of mass symptoms. When the cases were examined according to their histopathological diagnoses, 3 cases were leiomyoma, 5 cases were cysts, 2 cases were transitional epithelial-lined cysts, and 1 case was a fibroepithelial polyp.
Conclusion: Although benign perivaginal masses are rare, symptoms improve when the correct diagnosis is made, and appropriate surgery is performed. Differential diagnosis is necessary for an appropriate treatment approach.

Keywords

Anterior vaginal masses, periurethral cyst, vaginal leiomyoma, dyspareunia.

Supporting Institution

yok

Project Number

yok

Benign Masses of Female Anterior Vaginal Wall and Periurethral Tissues

Abstract

Objective: This study aims to point out reliable diagnosis and correct treatment for rare benign perivaginal masses.
Material and Methods: The diagnosis, treatment, histology, and postoperative management were summarized and analyzed by an operation due to benign AVM from the medical records of Sakarya University Training and Research Hospital Urology and Urogynecology clinics between the years 2020-2021.
Results: The mean age of the patients was 46.2 years. Among the patients included in the study, 80% had dyspareunia, 50% had dysuria and urgency, and 40% had sensation of mass symptoms. When the cases were examined according to their histopathological diagnoses, 3 cases were leiomyoma, 5 cases were cysts, 2 cases were transitional epithelial-lined cysts, and 1 case was a fibroepithelial polyp.
Conclusion: Although benign perivaginal masses are rare, symptoms improve when the correct diagnosis is made, and appropriate surgery is performed. Differential diagnosis is necessary for an appropriate treatment approach.

Keywords

anterior vaginal masses

Project Number

yok

References

• 1. Fletcher SG, Lemack GE. Benign masses of the female periurethral tissues and anterior vaginal wall. Current urology reports. 2008;9(5):389-396.
• 2. Blaivas JG, Flisser AJ, Bleustein CB, Panagopoulos G. Periurethral masses: etiology and diagnosis in a large series of women. Obstetrics and gynecology. 2004;103(5 Pt 1):842-847.
• 3. Liaci AL, Boesmueller H, Huebner M, Brucker SY, Reisenauer C. Perivaginal benign masses: diagnosis and therapy in a series of 66 women. Archives of gynecology and obstetrics. 2017;295(2):367-374.
• 4. Foster J, Lemack G, Zimmern P. Skene's gland cyst excision. International urogynecology journal. 2016;27(5):817-820.
• 5. Cross JJ, Fynes M, Berman L, Perera D. Prevalence of cystic paraurethral structures in asymptomatic women at endovaginal and perineal sonography. Clinical radiology. 2001;56(7):575-578.
• 6. Sheih CP, Li YW, Liao YJ, Huang TS, Kao SP, Chen WJ. Diagnosing the combination of renal dysgenesis, Gartner's duct cyst and ipsilateral müllerian duct obstruction. The Journal of urology. 1998;159(1):217-221.
• 7. Sharifiaghdas F, Daneshpajooh A, Mirzaei M. Paraurethral cyst in adult women: experience with 85 cases. Urology journal. 2014;11(5):1896-1899.
• 8. Shah SR, Biggs GY, Rosenblum N, Nitti VW. Surgical management of Skene's gland abscess/infection: a contemporary series. International urogynecology journal. 2012;23(2):159-164.
• 9. Bai SW, Jung HJ, Jeon MJ, Jung DJ, Kim SK, Kim JW. Leiomyomas of the female urethra and bladder: a report of five cases and review of the literature. International urogynecology journal and pelvic floor dysfunction. 2007;18(8):913-917.
• 10. Costantini E, Cochetti G, Porena M. Vaginal para-urethral myxoid leiomyoma: case report and review of the literature. International urogynecology journal and pelvic floor dysfunction. 2008;19(8):1183-1185.
• 11. Leron E, Stanton SL. Vaginal leiomyoma--an imitator of prolapse. International urogynecology journal and pelvic floor dysfunction. 2000;11(3):196-198.
• 12. Ozel B, Ballard C. Urethral and paraurethral leiomyomas in the female patient. International urogynecology journal and pelvic floor dysfunction. 2006;17(1):93-95.
• 13. Dane C, Rustemoglu Y, Kiray M, Ozkuvanci U, Tatar Z, Dane B. Vaginal leiomyoma in pregnancy presenting as a prolapsed vaginal mass. Hong Kong medical journal = Xianggang yi xue za zhi. 2012;18(6):533-535.
• 14. Demircan M, Ceran C, Karaman A, Uguralp S, Mizrak B. Urethral polyps in children: a review of the literature and report of two cases. International journal of urology : official journal of the Japanese Urological Association. 2006;13(6):841-843.
• 15. Norris HJ, Taylor HB. Polyps of the vagina. A benign lesion resembling sarcoma botryoides. Cancer. 1966;19(2):227-232.
• 16. Tsuzuki T, Epstein JI. Fibroepithelial polyp of the lower urinary tract in adults. The American journal of surgical pathology. 2005;29(4):460-466.