Vaginal Cysts

Chapter 89 Vaginal Cysts

INTRODUCTION

Description: Cystic masses in the vaginal wall are uncommon and may arise from either congenital (Gartner’s duct cysts) or acquired (epithelial inclusion cysts) processes.
Prevalence: One of 200 women.
Predominant Age: Generally from adolescence to middle reproductive years.
Genetics: No genetic pattern.

ETIOLOGY AND PATHOGENESIS

Causes: Congenital (Gartner’s duct cyst or remnant, generally found in the anterior lateral vaginal wall), structural (urethral diverticulum, loss of vaginal wall support), acquired (inclusion cyst, >50% of cysts).
Risk Factors: Episiotomy or obstetric laceration, gynecologic surgery.

CLINICAL CHARACTERISTICS

Signs and Symptoms

• Asymptomatic
• May be associated with a sense of fullness
• Dyspareunia (uncommon)
• Difficulty with tampon insertion or retention
• Cystic mass lesion (1 to 5 cm) found generally in the lateral vaginal wall (congenital) or in midline posteriorly (acquired)

DIAGNOSTIC APPROACH

Differential Diagnosis

• Urethral diverticulum
• Cystocele
• Urethrocele
• Rectocele

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Jun 6, 2016 | Posted by in GYNECOLOGY | Comments Off on Vaginal Cysts

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