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[Skene's cyst in pregnancy. A clinical case]
I Ingrassia1, G Silvestri, A Melani
1Divisione di Ostetricia e Ginecologica, Ospedale Civile, Pescia, Pistoia.
Minerva Ginecologica
|May 1, 1997
Summary
A pregnant patient experienced urinary obstruction due to a Skene's cyst. Management involved labor induction and surgical cyst removal postpartum, with analysis of treatment options.
Area of Science:
- Obstetrics and Gynecology
- Urology
Background:
- Paraurethral cysts, specifically Skene's cysts, can cause significant micturitional obstruction.
- Pregnancy presents unique challenges for managing such conditions due to potential impacts on both mother and fetus.
Observation:
- A case of a pregnant patient with a paraurethral acquired cyst (Skene's cyst) causing micturitional obstruction is presented.
- The clinical course during pregnancy, labor induction, and cyst ablation in the puerperium are detailed.
Findings:
- Differential diagnosis for paraurethral cysts during pregnancy is analyzed.
- Surgical techniques including agobiopsy, marsupialization, and surgical ablation are discussed.
- Surgical ablation in the puerperium is identified as a suitable therapeutic option.
Implications:
- This case highlights the importance of considering Skene's cysts in pregnant patients with urinary symptoms.
- Effective management strategies can be employed to resolve the obstruction and ensure favorable outcomes.