Paraurethral cyst: diagnosis and treatment in Moscow
Are you experiencing pain and burning in the lower abdomen and discomfort when urinating? It's possible you have a paraurethral cyst. In Moscow, you can receive diagnosis and treatment for this condition at the K+31 multidisciplinary clinic. Schedule a consultation with a urologist by phone or online on our website.
A paraurethral cyst is a pathological formation located near the external opening of the urethra or in the urethra itself. It is a connective tissue capsule containing a certain amount of secretory fluid.
specialists
equipment
treatment
Clinical signs
The early stages of the disease are typically asymptomatic. Nonspecific symptoms develop as the cyst grows and inflammation develops (paraurethritis in women and men).
Main manifestations of the disease:
- Discomfort above the pubis or in the perineum (when walking and sitting)
- The presence of a tumor (palpable near the urethral opening)
- Dysuria (urinary retention or incontinence, weak stream) with swelling of the mucous membrane of the canal
- Burning pain during urination
- Dyspareunia (pain during sexual intercourse)
- Localized sensation of heaviness, a foreign body, or distension
- Micro- or macrohematuria (presence of blood in the urine)
Against the background of infectious and inflammatory complications, patients develop pathological discharge (mucous or purulent) from Urethra.
Please note: Some patients ask whether a ureteral cyst can cause bladder rupture. This complication is never observed. Damage to the bladder wall is possible with acute or blunt trauma.
Appointment to the doctor
General information
Diagnosis
Due to the superficial location of the abnormal structure, diagnosis in most cases is straightforward for an experienced urologist. Additional examination is required if the formation is located deep in the tissues of the urethra.
A ureteral cyst in women can be palpated from the vagina. In the early stages of development, it may be discovered accidentally during a routine gynecological examination.
Important: A bladder cyst is a rare congenital disorder related to the developmental anomalies of the urinary system. This pathology has virtually nothing in common with paraurethral cystic formations.
Additionally, an endoscopic examination is prescribed – urethrocystoscopy and urethroscopy (dry urethroscopy according to Valentin or irrigation with saline). Urethroscopy allows detection of communication between the cystic cavity and the canal (in the posterior or posterolateral wall), as well as the identification of certain associated pathologies.
Routine methods include uroflowmetry, a non-invasive procedure for assessing urinary flow rate and urine volume. To verify the diagnosis, the physician may refer the patient for sonography (ultrasound scanning of the pelvis) and magnetic resonance imaging (MRI).
A urethral swab and urine sample are taken for cytological examination and culture to detect pathogenic and opportunistic microorganisms.
Urine cytology is necessary to determine the cause of hematuria. A positive result (the presence of a tissue component) suggests a tumor and a more thorough examination is required.
Culture can be sterile, but if performed after urethral massage, it usually reveals the presence of obligate microflora—enterobacteria, E. coli, streptococci, and staphylococci.
Make an appointment at a convenient time on the nearest date
Reviews
This award is given to clinics with the highest ratings according to user ratings, a large number of requests from this site, and in the absence of critical violations.
This award is given to clinics with the highest ratings according to user ratings. It means that the place is known, loved, and definitely worth visiting.
The ProDoctors portal collected 500 thousand reviews, compiled a rating of doctors based on them and awarded the best. We are proud that our doctors are among those awarded.
Price
Other services
Our clinics
Application “Personal Account K+31”
Etiology and classification
Etiological factors:
Obstruction of the urethral ducts can develop due to poor hygiene of the external genitalia or, conversely, be a consequence of the use of certain intimate hygiene products.
Please note: Urethral cysts are most often diagnosed in women aged 20-50.
Factors predisposing to glandular dysfunction include gestation, childbirth, and the onset of menopause.
Urethral cysts can be congenital (which is extremely rare) or acquired.
The following types of pathological formations are commonly distinguished:
Skene's formations are sacs filled with a translucent secretory fluid. They form when the ducts of small glands located near the urethral opening become obstructed. This type of paraurethral cyst is diagnosed in both men and women.
Gartner's duct cysts form due to structural abnormalities of the ducts and their adhesion to the vaginal wall. The secretions cannot be released and accumulate. A blood cyst never forms in the urethra. Hemorrhagic tumor-like formations in women can be detected in the ovaries.
Please note: Congenital formations must be differentiated from a presacral (pararectal) cyst—an abnormal structure localized in the cellular space near the rectum.
There are two stages of pathology development. In the first, the formation does not grow, but the cyst is infected. The patient develops the first symptoms of urogenital dysfunction (frequent urination and pain when urinating, abnormal discharge from the urethra).
The second stage is characterized by enlargement of the cyst, chronic inflammation of the surrounding tissues, and the development of pain during sexual intercourse and urination.