SIMPLE INFLAMMATORY PARAURETHRAL CYST: A CASE REPORT

INTRODUCTION: Paraurethral cyst is an uncommon and may be congenital or acquired. Presenting symptoms include a palpable or visible mass, pain, dyspareunia, dysuria, a distorted voiding stream, and a vaginal discharge. Paraurethral cyst affects 1% to 6% of the female population between 20 and 60 years of age. CASE REPORT: A 23 year old patient came with complaints of dysuria, dyspareunia and swelling in the vaginal region since 6 months, size being gradually increasing in size to the present size of 4x 4 cms giving a picture of paraurethral cyst. Ultrasonography was suggestive of a simple cyst and rest all investigations were in normal limits. During surgery, a unilocular cyst adherent to the urethral wall on the right side was appreciated. DISCUSSION: In this case, it was typically diagnosed upon physical examination, although ultrasound was used to confirm. We conclude that paraurethral cysts in adults are benign lesions that respond well to simple marsupialization, with no recurrence. The major risk factor in the present patients was pregnancy and vaginal delivery, but cysts can occur in nulliparous women.