Outcomes of complete excision of paraurethral cysts in women

O'Connor E1, Kocadag H1, Hamid R1, Ockrim J L1, Greenwell T J1

Research Type

Clinical

Abstract Category

Female Lower Urinary Tract Symptoms (LUTS) / Voiding Dysfunction

Abstract 354
Open Discussion ePosters
Scientific Open Discussion ePoster Session 21
Thursday 30th August 2018
13:40 - 13:45 (ePoster Station 4)
Exhibition Hall
Anatomy Female Surgery
1. University College Hospital at Westmoreland Street, 16-18 Westmoreland St, Marylebone, London W1G 8PH
Presenter
R

Rizwan Hamid

Links

Poster

Abstract

Hypothesis / aims of study
Paraurethral cysts are frequently mistaken both clinically and on MRI for urethral diverticulum. The aim of our study was to report and describe our management of paraurethral cysts in women.
Study design, materials and methods
We retrospectively reviewed a prospectively maintained database of 16 consecutive women of median age 35 [range 17-54] having surgical excision of paraurethral cysts between October 2011 and April 2017 for presenting symptoms, surgical management and outcomes.
Results
15 (93.8%) women presented with a palpable vaginal lump.  Other complaints included dyspareunia, vaginal discharge and voiding difficulty. 10 (62.5%) were referred with a clinical and MRI diagnosis of urethral diverticulum.
8 (50%) had urodynamic evidence of BOO consequent to their cyst, whilst 3 (18.8%) had evidence of detrusor overactivity (2 in association with BOO). All cysts were solitary and measured from 1.1 to 4.5cm in maximum dimension. 10 (62.5%) patients had cyst excision, 5 (31.3%) had cyst excision, repair of underlying adherent distal urethra and interposition of paraurethral tissue whilst 1 (6.3%) had cyst excision, repair of adherent mid and distal urethra and interposition of a modified Martius labial fat pad flap. The median follow-up period was 6 months (2.5-35). No complications or recurrences were demonstrated and presenting symptoms resolved in 15 (93.8%).
Interpretation of results
Paraurethral cysts are often mistaken both clinically and on MRI for urethral diverticulum. They cause similar symptoms and are associated with urodynamic abnormalities in > 50%. Complete excision resolves symptoms in 93.8% but may required urethral repair and tissue interposition in 37.6%.
Concluding message
Complete excision of paraurethral cysts resolves symptoms in 93.8% but may required urethral repair and tissue interposition in 37.6%.
Disclosures
Funding None Clinical Trial No Subjects None