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Patient Characteristics and Pathology of Surgically Treated Periurethral Masses

Özel, Begüm MD*; Urwitz-Lane, Rebecca MD*; White, Terry MD

Journal of Pelvic Medicine and Surgery: May-June 2007 - Volume 13 - Issue 3 - p 141-143
doi: 10.1097/01.spv.0000262804.33088.be
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Our aim was to describe the patient characteristics and pathology of periurethral masses in women who underwent surgery at a general gynecology service. We performed a retrospective chart review of all cases of surgically excised vulvar or vaginal masses between October 2002 and September 2004. Ninety-one women underwent surgical excision of a vulvar or vaginal mass; 20 (22.0%) were periurethral. Of these, 12 (60%) were periurethral cysts, 6 (30%) were urethral diverticuli, and 2 (10%) were suburethral myomas. Median age was 31 years; median parity was 2. Six (30%) women were nulliparous, and only 1 (5%) woman was postmenopausal. The most common presenting symptoms were pain, dyspareunia, dysuria, urethral discharge, and urinary incontinence. Women with urethral diverticuli were significantly more likely to have urinary symptoms and to report urinary incontinence when compared with women with periurethral cysts. Primary excision was successful in all cases with complete resolution of symptoms. Physicians treating women with periurethral masses should be familiar with the evaluation and management of urethral diverticuli.

In patients taken to surgery for a periurethral mass by the general gynecology service, most common diagnosis are periurethral cysts and urethral diverticuli.

From the *Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, University of Southern California-Keck School of Medicine, Los Angeles, CA; and †Department of Gynecology and Obstetrics, Emory University School of Medicine, Atlanta, GA.

Reprints will not be available.

Corresponding author: Begüm Özel, MD, Department of Obstetrics and Gynecology, Keck School of Medicine, University of Southern California, 1240 N Mission Road, Room L1022, Los Angeles, CA 90033. E-mail: ozel@usc.edu.

Presented at the Society of Gynecologic Surgeons 31st annual meeting in Rancho Mirage, California, April 3–6, 2005.

© 2007 Lippincott Williams & Wilkins, Inc.