BackgroundIn women, during embryologic development, the paired Müllerian (paramesonephric) ducts fuse distally and develop into the uterus, cervix, and upper vagina. If the Wolffian ducts persist in vestigial form, they can lead to Gartner’s cysts, mainly located in the right wall of the vagina. This is one of the few studies of Gartner’s cysts with a series of consecutive cases over a long period of time who were exclusively subject to clinical observation. Although Gartner’s cysts are found in approximately 0.1 to 0.2 % of women, controversy exists regarding the course of action to be taken.Case presentationWe describe the cases of four women who were 38-years old, 53-years old, 37-years old, and 49-years old at their first appointment and who were of mixed ethnicity, mixed ethnicity, black, and mixed ethnicity respectively. The follow-up of these patients ranged from 2 to 17 years. In these four cases the location of the cysts was the right wall of the vagina. Transvaginal ultrasound was the test of choice for diagnostic confirmation. In the cases presented in this study, the women were asymptomatic and chose to be observed clinically.ConclusionsThis is the first study reporting long-term clinical observation of these lesions. This study shows that conservative treatment can be a safe option for asymptomatic patients with vaginal Gartner’s duct cysts.

ResumoEste artigo retrata a implantação da "Escola de Postura" no Brasil e os procedimentos por ela propostas utilizada como forma de prevenção e tratamento das algias da coluna, desde sua criação, em 1969. No Brasil, os resultados de vários estudos realizados acerca do assunto trazem resultados variados o que pode por em dúvida a questão de sua eficácia. Busca-se fixar o perfil da escola, devido às necessidades de se conhecer os efeitos deste programa, e, assim, efetuou-se uma revisão da literatura acerca da implantação e difusão da "Escola de Postura" no Brasil, as diversas modificações e adaptações ocorridas ao longo dos anos, os recursos utilizados, os locais em que ela tem sido implantada e, também, os resultados apresentados por cada uma delas com relação a sua eficácia em pacientes com lombalgia crônica. Palavras-chave: Algias da coluna. Escola de Postura. Lombalgia. AbstractThis essay presents the establishment of the "Back School" in Brazil and how it has been used as a prevention and treatment form of the spine pains since its foundation in 1969. In Brazil, the results of various studies on the subject have varied consequences which can question its effectiveness. In search of a profile and the need to know the effects on this program, it was necessary to review the literature on the establishment and spreading of the "Back School" in Brazil, the several changes and adjustments that have occurred for years, the resources used, where this type of School has been established, and also the results presented by each one of them concerning their effectiveness in patients with chronic low back pain.