WEB Paraurethral Duct Cysts: A Comprehensive Guide
Definition and Etiology
Paraurethral duct cysts, also known as Skene's duct cysts, are fluid-filled sacs that develop in the paraurethral glands of women. These glands are situated near the opening of the urethra (urinary tube) and produce mucus that lubricates the female genital tract.
WEB Paraurethral duct cysts are retention cysts, which means they form when the Skene's ducts become obstructed. This obstruction can occur due to inflammation, infection, or injury.
Signs and Symptoms
Most paraurethral duct cysts are asymptomatic, meaning they do not cause any noticeable symptoms. However, if the cyst grows large enough, it may cause:
- Pain during urination
- Pain during intercourse
- Discomfort or a feeling of fullness in the vagina
- A lump or swelling near the opening of the urethra
Diagnosis and Treatment in Postmenopausal Patients
In postmenopausal women, a periurethral cystic mass may represent a urethral diverticulum, submucosal cyst, or abscess of a Skene's gland. Diagnosis involves a physical exam, imaging studies (e.g., ultrasound), and possibly biopsy.
Treatment for paraurethral duct cysts in postmenopausal patients may include:
- Conservative management: Observation and watchful waiting may be appropriate for small, asymptomatic cysts.
- Surgical removal: If the cyst is large or symptomatic, it can be surgically removed to alleviate discomfort.
Differential Diagnosis
Other conditions that can cause a cystic mass near the urethra include:
- Nabothian cysts (small, fluid-filled cysts in the cervix)
- Bartholin's cysts (larger, fluid-filled cysts in the Bartholin's glands, located near the vaginal opening)
- Abscess (pus-filled sac due to infection)
Keywords
paraurethral duct cysts, Skene's duct cysts, retention cysts, female genital tract, postmenopausal, urethral diverticulum, nabothian cysts, Bartholin's cysts, abscess
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