scholarly journals Subpubic Cartilaginous Pseudocyst: Orthopedic Feature with Urological Consequences

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Fawzy Farag ◽  
Ingrid van der Geest ◽  
Christina Hulsbergen-van de Kaa ◽  
John Heesakkers
Keyword(s):  
Surgical Excision ◽  
Pubic Symphysis ◽  
Vaginal Wall ◽  
Anterior Vaginal Wall ◽  
Cystic Mass ◽  
Mucoid Degeneration ◽  
Benign Lesions ◽  
Female Urethra ◽  
Voiding Function ◽  
Degenerative Lesion

Introduction. Masses arising from structures adjacent to the female urethra can cause obstructive urinary symptoms. Subpubic cartilaginous pseudocyst is a rare degenerative lesion of pubic symphysis that may cause these symptoms.Materials and Methods. A 61-year- and 57-year-old women presented with symptoms of difficult micturition and dyspareunia. Physical examination revealed a painless smooth, rounded, firm, and cystic mass, at the anterior vaginal wall of about 4 cm width. The mass caused inward deviation of the external urethral meatus. Cystoscopy and MRI were done.Results. Cystoscopy of case 1 (61 y) demonstrated anterior external urethral compression with normal urethral mucosa. Cystoscopy was not possible in case 2 (57 y) because the urethra could not be entered under local anesthesia. MRI showed almost the same findings in both cases: midline, rounded, and cystic mass~3×3×4 cm, anterosuperior to the urethra, and posteroinferior to the pubic symphysis, with normal features of the urinary bladder. Open surgical excision of theses lesions was performed in both patients. Histopathologic assessment of the specimen obtained from both patients showed degenerated hyaline with areas of fibrinous and mucoid degeneration, a picture suggestive of cartilaginous subpubic pseudocyst. After 11-month and 4-month followup of patients numbers 1 and 2, respectively, there is no evidence of local recurrence of the lesion, either clinically or radiologically and both patients void empty.Conclusions. Subpubic cartilaginous pseudocysts are rare benign lesions with only 13 cases were reported in the literature. Patients present with a spectrum of gynecological and/or urological manifestations. Sizable lesions severely compressing the urethra need surgical excision to restore the voiding function.

Carcinosarcoma of the Female Urethra

2014 ◽  
Vol 96 (3) ◽  
pp. 370-372
Author(s):  
L. D'Arrigo ◽  
A. Costa ◽  
F. Fraggetta ◽  
M. Pennisi ◽  
P. Pepe ◽  
...  
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Recurrent Urinary Tract Infection ◽  
Vaginal Wall ◽  
Anterior Vaginal Wall ◽  
Pathological Examination ◽  
Female Urethra ◽  
Palpable Mass ◽  
History Of

Carcinosarcoma is a rare malignant tumor with a biphasic morphology characterized by the presence of a malignant epithelial and mesenchymal component. It has been reported in many organs, including the genitourinary tract. We describe a case of a 47-year-old woman admitted to our hospital for history of recurrent urinary tract infection, dysuria and discharge of bloody fluid from the urethra at the end of urination. A tender palpable mass under the anterior vaginal wall was found and pathological examination showed a urethral carcinosarcoma. The histopathogenetic hypothesis and clinical management were considered in this report.

scholarly journals An Unusual Case of Anterior Vaginal Wall Cyst

2015 ◽  
Vol 7 (3) ◽  
pp. 227-230
Author(s):  
GS Anitha ◽  
M Prathiba ◽  
Mangala Gowri
Keyword(s):  
South Asian ◽  
Unusual Case ◽  
Histopathological Examination ◽  
Incidental Finding ◽  
Surgical Excision ◽  
Vaginal Wall ◽  
Anterior Vaginal Wall ◽  
Blunt Dissection ◽  
Gynecological Examination ◽  
Unmarried Girl

ABSTRACT Vaginal cysts are rare and are mostly detected as an incidental finding during a gynecological examination. Gartner duct cysts, the most common benign cystic lesion of the vagina, represent embryologic remnants of the caudal end of the mesonephric (Wolffian) duct. These cysts are usually small and asymptomatic and have been reported to occur in as many as 1% of all women. A 17-year-old unmarried girl presented with mass per vagina since one and a half year. On examination, anterior vaginal wall cyst of 8 × 4 × 3 cm was detected. Surgical excision of the cyst was done under spinal anesthesia by sharp and blunt dissection. The cyst was filled with mucoid material and histopathological examination confirmed Gartner origin. This is a rare case of large Gartner cyst. How to cite this article Anitha GS, Prathiba M, Gowri M. An Unusual Case of Anterior Vaginal Wall Cyst. J South Asian Feder Obst Gynae 2015;7(3):227-230.

scholarly journals Atypical vaginal location of endometriosis following repeated urogynaecological surgery

2021 ◽  
Vol 14 (8) ◽  
pp. e244186
Author(s):  
Anna Elisabet Christensen ◽  
Jens Jorgen Kjer ◽  
Dorthe Hartwell ◽  
Signe Perlman
Keyword(s):  
Vaginal Surgery ◽  
Surgical Excision ◽  
Scar Tissue ◽  
Pelvic Organ ◽  
Urethral Diverticulum ◽  
Vaginal Wall ◽  
Anterior Vaginal Wall ◽  
Urinary Flow ◽  
Prolapse Symptoms ◽  
One Year

We outline a case of vaginal endometriosis in scar tissue located in the distal part of the anterior vaginal wall close to the urethra following repeated urogynaecological surgery. Our case presents a 45-year-old woman diagnosed with pelvic endometriosis in her youth. She underwent several vaginal surgeries due to pelvic organ prolapse, symptoms of stress incontinence and decreased urinary flow. One year after her most recent vaginal surgery, she developed a tender lump in the lower part of the anterior vaginal wall. A urethral diverticulum was suspected, but a diagnostic puncture and biopsy unexpectedly showed histologically verified endometriosis. As the cyst recurred, surgical excision of all visible endometriosis tissue was performed. After 3 years of follow-up, the patient remained without recurrence. This case illustrates the risk of atypical implantation of endometriosis related to repeated urogynaecological surgery and that treatment requires surgery with thorough removal of all visible tissues.

scholarly journals Vaginal leiomyoma, post hysterectomy, mimicking vault prolapse: case report

2020 ◽  
Vol 9 (11) ◽  
pp. 4753
Author(s):  
Jharna Behura ◽  
Poonam Bagga ◽  
Anjali Mathur
Keyword(s):  
Previous History ◽  
Surgical Excision ◽  
Vaginal Wall ◽  
Anterior Vaginal Wall ◽  
Careful Examination ◽  
Preoperative Imaging ◽  
Transvaginal Sonography ◽  
Vault Prolapse ◽  
Adjacent Structures ◽  
Vaginal Leiomyoma

Leiomyomas are common benign smooth muscle tumours of the uterus. Leiomyoma of the vagina are very rare with only about 300 reported cases. Correct diagnosis and differentiation from urethral lesions are important but is usually difficult on clinical examination alone. A 40-year P3L3, with a previous history of abdominal hysterectomy 5 years back, for multiple fibroids presented with complaints of a mass descending per-vagina since the last 2 years. Since the last 6 months she had dyspareunia, dysuria and perineal discomfort. On external appearance the mass looked like a vault prolapse. However, on vaginal examination, it appeared as a single well circumscribed mass arising from the anterior vaginal wall and the vault. Transvaginal sonography showed a hypoechoic mass arising from the anterior vaginal wall of dimension 50×54×63 mm pressing on the urethra. Contrast CT revealed a rounded homogeneous well-defined soft tissue density mass lesion measuring approximately 63×52 mm in the region of the vaginal vault interposed between the bladder base and the rectum. Bilateral ovaries and adnexa appeared normal. Surgical excision of the tumour through the vagina was done. Histopathology confirmed leiomyoma.  The diagnosis of vaginal leiomyoma is based on careful examination and preoperative imaging both by ultrasonography and a CT scan/MRI for ascertaining its location, extent, its relationship to adjacent structures and characterization before attempting surgical excision. The correct clinical diagnosis of a vaginal fibroid is frequently overlooked in favour of much more common urethral diverticulum.

906: Pelvicol Implants for Prevention of Anterior Vaginal wall Prolapse: Randomized Multicenter Study

2006 ◽  
Vol 175 (4S) ◽  
pp. 293-293
Author(s):  
Ervin Kocjancic ◽  
Paolo Pifarotti ◽  
Fabio Magatti ◽  
Francesco Bernasconi ◽  
Diego Riva ◽  
...  
Keyword(s):  
Multicenter Study ◽  
Vaginal Wall ◽  
Anterior Vaginal Wall ◽  
Anterior Vaginal Wall Prolapse

Utility of anterior vaginal wall length measurement in vaginal reconstructive surgery

2016 ◽  
Vol 28 (8) ◽  
pp. 1197-1200 ◽  
Author(s):  
Amy F Collins ◽  
Paula J Doyle ◽  
Smitha Vilasagar ◽  
Gunhilde M Buchsbaum
Keyword(s):  
Reconstructive Surgery ◽  
Vaginal Wall ◽  
Anterior Vaginal Wall ◽  
Length Measurement ◽  
Vaginal Reconstructive Surgery

A PAX-8-positive Female Urethra Adenocarcinoma: A Case Report with Diagnostic Challenges in Intestinal- Type Adenocarcinoma

2020 ◽  
Vol 154 (Supplement_1) ◽  
pp. S60-S61
Author(s):  
M Torrez ◽  
R Allen ◽  
J Zhou
Keyword(s):  
Pulmonary Nodules ◽  
Urethral Diverticulum ◽  
Vaginal Wall ◽  
Intestinal Type ◽  
Primary Adenocarcinoma ◽  
Female Urethra ◽  
Current Case ◽  
Squamous Mucosa ◽  
Uterine Tumors ◽  
Er Positive

Abstract Introduction/Objective Female urethra adenocarcinoma (FUA) in women is extremely rare, representing 0.02% of all women’s cancers and <1% of cancers in the female genitourinary tract. Intestinal-type primary adenocarcinoma of the urethra is even rarer, with only one documented case to our knowledge. Furthermore, PAX-8 immunoexpression in this entity has not been reported. Here we report an intestinal-type primary urethral adenocarcinoma that developed from inflammation-related metaplasia in urethral diverticulum with positive PAX-8 staining. Methods Clinical chart review and microscopic examination on the lung, urethral, and vaginal wall biopsies and immunohistochemistry were performed. Results A 64-year-old female with a 32-pack-year history of tobacco use was found to have multiple pulmonary nodules on imaging. The tumor cells were positive for CK7, CK20, SAT-B2, and PAX-8 and negative for TTF- 1/Napsin and ER. Positive PAX-8 immunoexpression raised the possibility of a gynecologic/Mullerian primary. Subsequent colonoscopy and imaging showed no evidence of colorectal or uterine tumors. The patient began having hematuria with intermittent urinary retention, and cystoscopy showed a 4 x 3 cm mass involving bladder neck circumferentially and invading into the vaginal wall. Urethral and vaginal tumor biopsies were performed. Morphologic examination of the urethral biopsy demonstrated intestinal metaplasia of squamous mucosa with transition from a mature to dysplastic phenotype where the adenocarcinoma originated from. The vaginal wall biopsy showed the same morphology. The urethral and vaginal wall biopsies showed a similar immunophenotype as the pulmonary nodule biopsy. Conclusion FUA is a rare, aggressive tumor that occurs in Skene’s glands. In our current case, however, it appeared to arise from inflammation-related metaplasia in urethral diverticulum. Another important finding of the case is the positive PAX-8 expression. Therefore in PAX-8 positive tumors, primary adenocarcinoma of lower urinary tract should be in the differential, along with gynecologic/Mullerian tumors.

scholarly journals Osteochondroma of the pubic symphysis causing hematuria: a case report and literature review

BMC Urology ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Li-cheng Song ◽  
Qian Xu ◽  
Hui Li ◽  
Zhi-jun Li ◽  
Ya Li ◽  
...  
Keyword(s):  
Bladder Tumor ◽  
Multidisciplinary Approach ◽  
Bladder Tumour ◽  
Surgical Excision ◽  
Pubic Symphysis ◽  
Careful Analysis ◽  
Bone Neoplasm ◽  
Imaging Data ◽  
Case Presentation

Abstract Background Osteochondroma is the most common benign bone neoplasm and is sometimes referred to as osteocartilaginous exostosis. The symptoms caused by osteochondroma are rare, especially the urogenital complications. Therefore, this tumour is sometimes misdiagnosed. Case presentation This report described a 70-year-old woman with hematuria who was initially misdiagnosed with a bladder tumour in the outpatient department by a urologist. However, during cystoscopy, we found that the mass did not resemble a bladder tumor. Multidisciplinary approach with careful analysis of the imaging data suggested the diagnosis of osteochondroma. Open surgical excision of the mass was done and histology confirmed the diagnosis of benign osteochondroma. After 6 months of follow-up, the patient was still asymptomatic. Conclusions This case illustrates that hematuria is caused by not only urogenital disease but also osteochondroma. We present this case to draw the attention of clinicians to osteochondroma of the pubic symphysis.

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