排尿因難を伴ったGartner管嚢腫の1例

Abstract

A case of Gartner's duct cyst was presented. A 44-year-old woman was admitted to our clinic because of dysuria and inability of coitus. Physical examination revealed a pigeon egg sized cystic mass around the urethra in the shape of horseshoe. Excretory urogram and voiding cystourethrogram showed normal urinary tract. No connection was recognized between the urethra and the cyst. A transvaginal resection of the cyst was performed. The cyst adhered firmly to the periurethral connective tissue. All the cyst wall was resected without a cord-like substance toward the cervix. Histological examination showed a single layer of cuboidal or columnar epithelium lining the cyst wall, which is compatible with Gartner's duct cyst. Dysuria disappeared and sexual intercourse was of no trouble postoperatively. Neither incontinence nor urianry fistula formation were observed for 2 years.