title: Diagnosis and management of periurethral cysts.
abstract: OBJECTIVE
  Periurethral cysts are a rare entity that may be confused with urethral diverticula. The protocol for diagnosis and management of these lesions is still unclear. We present our experience with six patients presenting with periurethral cysts.
  
  
  METHODS
  From 2001 to 2005 we evaluated six patients with a paraurethral mass. History, physical examination, laboratory and radiographic findings were analyzed to determine factors helpful in mass diagnosis. Cyst excision was performed via trans-vaginal approach in all patients and outcomes of this approach were assessed.
  
  
  RESULTS
  Six female patients, average age of 29.7 years, presented with the complaint of a paraurethral mass. Transvaginal sonography was performed in two patients to confirm the presence of a periurethral cyst. Cystourethroscopy in all patients revealed no communication between the cyst and the urethra or presence of other lesions. Pathology revealed a benign cyst in all patients. No cyst recurrence has been seen in any patient.
  
  
  CONCLUSIONS
  Most periurethral cysts can be diagnosed by physical examination. The diagnosis may be confirmed with transvaginal sonography. Cystourethroscopy should be performed to rule out other pathology, but may be done in the same setting as surgical excision. Complete surgical excision is effective and is associated with minimal risk of recurrence during short-term follow-up.
authors.affiliation: Section of Urology, Department of Surgery, University of Chicago, Chicago, Ill. 60637, USA.
authors.forename: Alvaro
authors.initials: A
authors.lastname: Lucioni
authors.forename: David E
authors.initials: DE
authors.lastname: Rapp
authors.forename: Edward M
authors.initials: EM
authors.lastname: Gong
authors.forename: Paula
authors.initials: P
authors.lastname: Fedunok
authors.forename: Gregory T
authors.initials: GT
authors.lastname: Bales
mesh_terms: D000328:Adult; D003560:Cysts / Q000175:diagnosis* / Q000601:surgery*; D005260:Female; D006801:Humans; D014522:Urethral Diseases / Q000175:diagnosis* / Q000601:surgery*