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Han, Sung, Jeon, and Yoo: Paraurethral Cyst Discovered in Misdiagnosed Urethral Diverticulum of an Adult Female
Case Report
Korean Journal of Urology

Korean Journal of Urology 2008; 49(8): 762-764.

Published online: 31 August 2008

DOI: https://doi.org/10.4111/kju.2008.49.8.762

Paraurethral Cyst Discovered in Misdiagnosed Urethral Diverticulum of an Adult Female

Kyung Sik Han, Wooseuk Sung, Seung Hyun Jeon, Koo Han Yoo

Department of Urology, School of Medicine, Kyung Hee University, Seoul, Korea.

yookoohan@yahoo.co.kr

Received 31 March 2008       Accepted 23 June 2008

Copyright © 2008 The Korean Urological Association

Abstract

A paraurethral cyst is a rare congenital or acquired abnormality in females that is characterized by a round, yellow or orange-colored cystic mass on either side of the urethral meatus. We report a patient who presented with frequent, postvoiding dribbling. The important differential diagnostic considerations in infants and adults are an ectopic ureterocele, urethral diverticulum, cystocele and paraurethral tumors. Intravenous pyelography, voiding cystourethrogram, cystourethroscopy are essential for differentiating these lesions. This case of a paraurethral cyst was treated with complete excision.

Keywords: Paraurethral cyst, Urethra, Diverticulum

Figures and Tables

Fig. 1
Paraurethral cyst located at 6 o'clock of the external meatus.
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Fig. 2
On magnetic resonance imaging (MRI), T2W1 axial view, 3.1×2.9×1.2cm sized high attenuation lobulating cystic mass is noted on the anterior portion of the mid portion of the vagina. This MRI finding shows no communication between the lesion and urethra.
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Fig. 3
Microscopically, sections disclose a portion of urethra showing a cyst structure lined by stratified squamous epithelium (×400).
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References

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ORCID iDs

Seung Hyun Jeon
https://orcid.org/http://orcid.org/0000-0003-0915-8106

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