Clinical course and surgical treatment of paraurethral cysts in women

Abstract

The results of surgical treatment of 59 women (average age 31.9 ± 1.3 years) who underwent laser ablation of paraurethral cysts using the Lakhta-Milon laser apparatus (Russia) (diode laser with a wavelength of 0.97 μm) are presented. The postoperative period in all patients proceeded without serious complications. The average hospital stay was 1.7 ± 1.5 days. 4 weeks after surgery, all 59 patients noted improvement such as lack of dysuria, only 10 (16.9%) had minor discharge from the genital tract. 6 weeks after surgery all 59 operated patients had wound epithelization. Conclusion: The treatment of paraurethral cysts should be surgical and as radical as possible. The operation of choice is laser ablation of paraurethral formations.

Keywords

paraurethral cysts / laser ablation / Skene’s glands

References

[1] Shah SR, Nitti VW. Benign vaginal wall masses and paraurethral lesions. In: Vaginal surgery for the urologist. 1st ed. Philadelphia: Elsevier Saunders; 2012. P. 127-135.

[2] Skene AJ. The anatomy and pathology of two important glands of the female urethra. Am J Obstetr Dis Women Child. 1880;13:265-270.

[3] Huffman JW. The detailed anatomy of the paraurethral ducts in the adult human female. Am J Obstetr Gynecol. 1948;55(1):86-101. https://doi.org/10.1016/0002-9378(48)90157-4.

[4] Wernert N, Albrech M, Sesterhenn I, et al. The ‘female prostate’: location, morphology, immunohistochemical characteristics and significance. Eur Urol. 1992;22(1):64-69. https://doi.org/10.1159/000474724.

[5] Zaviacic M, Ablin RJ. The female prostate and prostate-specific antigen. Immunohistochemical localization, implications for this prostate marker in women, and reasons for using the term “prostate” in the human female. Histol Histopathol. 2000;15(1):131-142. https://doi.org/10.14670/HH-15.131.

[6] Moalem S, Reidenberg JS. Does female ejaculation serve an antimicrobial purpose? Med Hypotheses. 2009;73(6):1069-1071. https://doi.org/10.1016/j.mehy.2009.07.024.

[7] Кан Д.В. Руководство по акушерской и гинекологической урологии. 2-е изд., перераб. и доп. – М.: Медицина, 1986. – 488 с. [Kan DV. Rukovodstvo po akusherskoy i ginekologicheskoy urologii. 2nd ed. revised and updated. Moscow: Medicina; 1986. 488 р. (In Russ.)]

[8] Raz S, Rodriguez L. Female Urology. 3rd ed. Philadelphia: W.B. Saunders Company; 2008. 1056 р.

[9] Пушкарь Д.Ю., Раснер П.И., Гвоздев М.Ю. Парауретральная киста // Русский медицинский журнал. – 2013. – № 34. – C. 9. [Pushkar’ DYu, Rasner PI, Gvozdev MYu. Parauretral’naya kista. Russkiy meditsinskiy zhurnal. 2013;(34):9. (In Russ.)]

[10] Аполихина И.А., Тетерина Т.А., Евсеева М.М. Консервативное лечение пациентки с кистами парауретральных желез // Акушерство и гинекология. – 2012. – № 2. – С. 93–95. [Apolihina IA, Teterina TA, Evseeva MM. Medical treatment in a female patient with paraurethral cysts. Akusherstvo i ginekologiya. 2012;(2):93-95. (In Russ.)]

[11] Shah SR, Biggs GY, Rosenblum N, Nitti VW. Surgical management of Skene’s gland abscess/infection: a contemporary series. Int Urogynecol J. 2012;23(2):159-164. https://doi.org/10.1007/s00192-011-1488-y.

[12] Имамвердиев С.Б., Бахышов А.А. Оперативное лечение парауретральных кист у женщин // Урология. – 2010. – № 2. – С. 40–42. [Imamverdiev SB, Bahyshov AA. Surgical treatment of paraurethral cysts in women. Urologiia. 2010;(2):40-42. (In Russ.)]

[13] Слесаревская М.Н., Соколов А.В., Жарких А.В. Преимущества лазерной коагуляции лейкоплакии мочевого пузыря // Урологические ведомости. – 2012. – Т. 2. – № 1. – С. 16–22. [Slesarevskaya MN, Sokolov AV, Zarkih AV. Advantages of laser coagulation for bladder leukoplakia. Urologicheskie vedomosti. 2012;2(1):16-22. (In Russ.)]

[14] Елисеенко В.И. Особенности заживления лазерных ран // Лазерная медицина. – 2011. – Т. 15. – № 2. – С. 24. [Eliseenko VI. Peculiarities in laser wound healing. Laser medicine. 2011;15(2):24. (In Russ.)]

[15] Агеева С.А., Минаев В.П. Современные лазерные скальпели как основа внедрения высокоэффективных и стационарозамещающих технологий в оториноларингологии // Национальный медицинский каталог. – 2003. – № 2. – С. 62–68. [Ageeva SA, Minaev VP. Sovremennyye lazernyye skal’peli kak osnova vnedreniya vysokoeffektivnykh i statsionarozameshchayushchikh tekhnologiy v otorinolaringologii. Natsional’nyy meditsinskiy katalog. 2003;(2):62-68. (In Russ.)]

[16] Каспаров А.С. Клинико-морфологическое обоснование применения диодного лазерного скальпеля в амбулаторной хирургической стоматологии: Автореф. дис. … канд. мед. наук. – М., 2006. – 24 с. [Kasparov AS. Kliniko-morfologicheskoye obosnovaniye primeneniya diodnogo lazernogo skal’pelya v ambulatornoy khirurgicheskoy stomatologii. [dissertation abstract] Moscow; 2006. 24 р. (In Russ.)]. Доступно по: https://search.rsl.ru/ru/record/01003278263. Ссылка активна на 23.10.2019.

RIGHTS & PERMISSIONS

Slesarevskaya M.N., Al-Shukri S.K., Sokolov A.V., Kuzmin I.V.