| Autor: |
Pătrășcoiu, S., Gilca, I., Brătilă, E., Copca, N., Pivniceru, C., Stroescu, C., Constantinica, V., Zamfir, R., Rosulescu, C., Prie, I., Mischie, O. G., Birceanu, A., Gurau, C. |
| Předmět: |
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| Zdroj: |
Ginecologia.ro; dec2016 Supplement 1, Vol. 4, p18-18, 1/2p |
| Abstrakt: |
Introduction. Urethral endometriosis is a rare entity and only few cases have been reported. It represents about 2 percent of all urinary tract involvements and is briefly mentioned in the clinical guidlines and literatures. It may arise from suburethral location or within urethral diverticula. Material and methods. A 54 year old woman was admitted in our urology department, at ”Saint Mary” Clinical Hospital, for urinary stress incontinence, urinary tract infections, mild disuria. Pelvic examination revealed a suburethral mass, painless, two centimeters in diameter. No pus was expressed through the urethra with cyst massage. Transvaginal ultrasound revealed a cystic lesion on the anterior aspect of mid urethra. Uterine adenomyosis was noted. Cistoscopy showed that the cystic lesion did not communicate with the urethral lumen. Under spinal anesthesia she underwent an urethrocystoscopy that did not reveal any diverticular ostium. Then we proceded to transvaginal resection of the mass. The lesion was located to the level of the mid urethra. The entire mass was resected. The lesion contained a thick, dark liquid blood count. Intraoperative frozen section histopathology showed endometriosis. Regarding the involuntary leakage of urine, we continued the surgical intervention with the placement of a tension free transobturator tape sling. Results. Postoperative evolution was favorable and the pacient was discharged on the third day postoperatively.` The paraffin histopathology showed endometriosis. After surgery the pacient was guided to the gynecology service for further investigation and medical treatment on the endometriosis. At six months postoperative control the pacient was fully recovered, with disappearence of stress urinary incontinence. No endometriosis recurrence was encountered. Conclusions. Although rare, endometriosis should be considered in the diagnostic evaluation of any periurethral cystic mass, especially if it is associated with a history of pelvic pain, dyspareunia, dysmenhorrea (or menstrual disorders), voiding difficulty or urinary incontinence. Knowledge of the etiology, evaluation and treatment of cystic lesions of the vagina is essential as these lesions are not very often encountered in urological practice. Familiarity with the different types of cystic lesions is important for any clinician involved in gynecological or female urological practice to arrive at the correct diagnosis and treatment plan. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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