MR Imaging and Endorectal Sonographic Appearance of a Cyst of Skene's Ducts

Cesarani, Federico; Corsico, M; Robba, Tiziana; A, De Zan

doi:10.2214/ajr.175.5.1751466

Cited by 11 publications

(8 citation statements)

References 3 publications

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“…It can be used preoperatively to determine the precise location of the mass with respect to the urethra as well as rule out other disorders. Neoplasms of muscular origin are portrayed as hypointense or isointense on T1-weighted images or hyperintense or isointense on T2-weighted images [18,19].…”

Section: Discussionmentioning

confidence: 99%

A True Paraurethral Leiomyoma, A Case Report and Review of Literature

Rezai¹,

LoBue²,

Bahl³

et al. 2017

OGIJ

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Leiomyoma is a benign mass of smooth muscle cells that most frequently occurs in the gastrointestinal and genitourinary system. However, leiomyomas arising from the female urethra, especially paraurethral, are exceedingly rare. We present a case of a true paraurethral leiomyoma. The initial presenting complaints were dyspareunia, increased urinary frequency, and a 1.8 cm lesion in the anterolateral wall of the vagina that was suspicions of a Gartner's duct cyst. However, the patient was lost to followup for 5 years. On return, the patient continued to complain of dyspareunia, urinary frequency, suprapubic pain, and dysuria. The patient was treated for multiple instances of urinary tract infections (UTIs) without symptomatic improvement. A pelvic MRI demonstrated a 3.8 x 4.1 x 4.7 cm mass within the left anterior aspect of the lower cervix/vagina. Cystoscopy was notable for an unremarkable urethra with an anterior vaginal wall mass extrinsically pushing the bladder trigone without penetration into the bladder mucosa or communication with the ureter or vagina. A biopsy from the paraurethral mass revealed well-delineated cells with low mitotic figures encompassed in a fibrous capsule non-adherent to adjacent structures. The mass was subsequently excised through the anterior vaginal wall with no complications and complete resolution of symptoms.

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Section: Discussionmentioning

confidence: 99%

A True Paraurethral Leiomyoma, A Case Report and Review of Literature

Rezai¹,

LoBue²,

Bahl³

et al. 2017

OGIJ

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show abstract

“…Multiple imaging modalities are available, including transvaginal ultrasonography, pelvic MRI, voiding cystourethrography, and computed tomography (CT) scanning [17]. Ultrasonography and MRI can aid in identifying the exact mass location and possible solid components, tissue infiltration, or tissue planes between the mass and urethral tissue for surgical planning [18]. At MRI, urethral leiomyomas appear hypointense or isointense to muscle on T1-weighted images and hyperintense or isointense to muscle on T2-weighted images, with uniform enhancement.…”

Section: Discussionmentioning

confidence: 99%

Female paraurethral leiomyoma: treatment and long-term follow-up

Migliari¹,

Buffardi²,

Mosso

2015

Int Urogynecol J

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A well-defined protocol for diagnosing and managing a paraurethral mass had not been established as yet due the rarity of the mass. We suggest performing pelvic magnetic resonance imaging (MRI) as a primary examination, followed by lesion biopsy. Complete surgical resection performed transvaginally should be the treatment of choice. As paraurethral leiomyomas does not originate from intraurethral smooth-muscle component, urethral lesion is rare. Excision of female urethral leiomyoma transvaginally is safe, and postoperative urinary incontinence, if any, can be easily corrected with minimally invasive tecniques.

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“…Patients in their series all had LUTS or incontinence/dribbling of varying degrees. To date, only a few studies have described “Skene gland cysts” on MRI [44–46]. Hahn et al.…”

Section: Discussionmentioning

confidence: 99%

“…Patients in their series all had LUTS or incontinence/dribbling of varying degrees. To date, only a few studies have described "Skene gland cysts" on MRI [44][45][46]. Hahn et al defined cystic lesions at the external urethral meatus originating from Skene's glands in some cases of their MRI study.…”

Section: Mri Of the Female Prostatementioning

confidence: 99%

Magnetic Resonance Imaging of Female Prostate Pathology

Wimpissinger

Tscherney

Stackl

2009

The Journal of Sexual Medicine

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Introduction The female prostate (paraurethral glands) is a well-known, yet poorly understood, anatomic structure. Imaging studies of the female prostate, its physiology, and pathologies are still highly controversial. Aim To study the anatomy of the female prostate with contemporary magnetic resonance imaging (MRI) techniques and correlate these findings to clinical features. Main Outcome Measures Female prostate pathologic anatomy on MRI. Methods Women with clinical signs of function (or dysfunction) of paraurethral glands have been examined with 1.5 or 3 Tesla MRI and urethroscopy. Results Seven women aged 17 to 62 years (median 40 years) have been prospectively included into the study. Clinically, one of the seven women reported ejaculation at orgasm, whereas three women presented with occasional secretions independent of sexual stimulation. In two women, paraurethral glands have been randomly found on MRI that has been performed in the diagnostic workup of other diseases. One woman presented with swelling of the external urethral meatus at puberty. In this woman, a paraurethral gland has been found, besides the erectile tissue at the external meatus. Two women reported lower urinary tract symptoms (LUTS) with mainly urethral symptoms (recurrent infections in one and paraurethral stones in the other). On MRI, paraurethral glands could be visualized in six of the seven patients. There was no relation between glandular volume and ejaculation status. In cases where glands or related pathologies could be found on physical examination, there was a clear correlation with MRI anatomy. Conclusions MRI has the potential to become the standard imaging modality for female prostate pathology. Exact visualization of this highly variable structure is possible by tailored MRI protocols. This tool can aid in understanding an individual woman’s symptoms related to paraurethral glands with an impact on her sexual life.

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MR Imaging and Endorectal Sonographic Appearance of a Cyst of Skene's Ducts

Cited by 11 publications

References 3 publications

A True Paraurethral Leiomyoma, A Case Report and Review of Literature

A True Paraurethral Leiomyoma, A Case Report and Review of Literature

Female paraurethral leiomyoma: treatment and long-term follow-up

Magnetic Resonance Imaging of Female Prostate Pathology

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