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Excision of Vaginal and Vulvar Cysts

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Female Pelvic Surgery

Abstract

This chapter provides information on the evaluation and management of vaginal and vulvar cysts. Embryology of the urogenital tract is reviewed, and basic anatomy, including histologic features of the vagina and vulva, is described. A differential diagnosis of the various vaginal and vulvar cysts is explored. Evaluation and management for each type of cyst is discussed, and surgical techniques for cyst treatments are detailed.

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References

  1. Smith RP. Vaginal cysts. In: Netter’s obstetrics & gynecology. Philadelphia: Elsevier; 2018.

    Google Scholar 

  2. Hoffman BL Schorge JO, Bradshaw KD, et al. Chapter 18: Anatomic disorders. In: Hoffman BL, Schorge JO, Bradshaw KD, et al (eds). Williams gynecology, 3rd edition. New York: McGraw-Hill; 2016: 404–426.

    Google Scholar 

  3. Valea FA. Reproductive anatomy: gross and microscopic, clinical correlations. In: Lobo RA, Gershenson DM, Lentz GM, Valea FA, editors. Comprehensive gynecology. Philadelphia: Elsevier; 2017.

    Google Scholar 

  4. Corton MM. Anatomy. In: Hoffman BL, Schorge JO, Bradshaw KD, et al., editors. Williams gynecology. 3rd ed. New York: McGraw-Hill; 2016. p. 796–824.

    Google Scholar 

  5. Baggish MS, Karam MM. Anatomy of the urethra. In: Baggish MS, Karam MM, editors. Atlas of pelvic anatomy and gynecologic surgery. Philadelphia: Elsevier; 2016.

    Google Scholar 

  6. Eilber KS, Raz S. Benign cystic lesions of the vagina: a literature review. J Urol. 2003;170(3):717–22.

    Article  Google Scholar 

  7. Deppisch LM. Cysts of the vagina: classification and clinical correlations. Obstet Gynecol. 1975;45(6):632–7.

    Article  CAS  Google Scholar 

  8. Lee HJ, Park YM, Jee BC, Kim YB, Suh CS. Various anatomic locations of surgically proven endometriosis: a single-center experience. Obstet Gynecol Sci. 2015;58(1):53–8.

    Article  CAS  Google Scholar 

  9. Lima-Silva J, Vieira-Baptista P, Cavaco-Gomes J, Maia T, Beires J. Emphysematous vaginitis. J Low Genit Tract Dis. 2015;19(2):e43–4.

    Article  Google Scholar 

  10. Kondi-Pafiti A, Grapsa D, Papakonstantinou K, Kairi-Vassilatou E, Xasiakos D. Vaginal cysts: a common pathologic entity revisited. Clin Exp Obstet Gynecol. 2008;35(1):41–4.

    CAS  PubMed  Google Scholar 

  11. Kodama M, Hirota K, Oshima M, Funato T. Laparoscopic resection of an epidermal inclusion cyst at the vaginal cuff. J Minim Invasive Gynecol. 2010;17(3):393–6.

    Article  Google Scholar 

  12. Davidson ER, Barber MD. A Gartner duct cyst masquerading as anterior vaginal prolapse. Obstet Gynecol. 2017;130(5):1039–41.

    Article  Google Scholar 

  13. Dwyer PL, Rosamilia A. Congenital urogenital anomalies that are associated with the persistence of Gartner’s duct: a review. Am J Obstet Gynecol. 2006;195(2):354–9.

    Article  Google Scholar 

  14. Gotoh T, Koyanagi T. Clinicopathological and embryological considerations of single ectopic ureters opening into Gartner’s duct cysts: a unique subtype of single vaginal ectopia. J Urol. 1987;137(5):969–72.

    Article  CAS  Google Scholar 

  15. Arcien P, Susarte F, Romero J, Galán J, Mayol MJ, Quereda FJ, et al. Complex genital malformation: ectopic ureter ending in a supposed mesonephric duct in a woman with renal agenesis and ipsilateral blind hemivagina. Eur J Obstet Gynecol Reprod Biol. 2004;117(1):105–8.

    Article  Google Scholar 

  16. Cope AG, Laughlin-Tommaso SK, Famuyide A, Gebhart JB, Hopkins MR, Breitkopf DM. Clinical manifestations and outcomes in surgically managed Gartner duct cysts. J Minim Invasive Gynecol. 2017;24(3):473–7.

    Article  Google Scholar 

  17. Hagspiel KD. Giant Gartner duct cyst: magnetic resonance imaging findings. Abdom Imaging. 1994;20:566–8.

    Article  Google Scholar 

  18. Laronda M, Unno K, Butler LM, Kurita T. The development of cervical and vaginal adenosis as a result of diethylstilbestrol exposure in utero. Differentiation. 2012;84(3):252–60.

    Article  CAS  Google Scholar 

  19. Tjugum J, Jonassen F, Olsson JH. Vaginitis emphysematosa in a renal transplant patient. Acta Obstet Gynecol Scand. 1986;65(4):377–8.

    Article  CAS  Google Scholar 

  20. Sherer DM, Hellmann M, Gorelick C, Sokolovski M, Abulafia O. Transvaginal sonographic findings associated with emphysematous vagintis at 32 weeks’ gestation. J Ultrasound Med. 2006;25(4):515–7.

    Article  Google Scholar 

  21. Josey WE, Campbell WGJ. Vaginitis emphysematosa: a report of four cases. J Reprod Med. 1990;35(10):974–7.

    CAS  PubMed  Google Scholar 

  22. Leder RA, Paulson EK. Vaginitis emphysematosa: CT and review of the literature. Am J Roentgenol. 2001;176(3):623–5.

    Article  CAS  Google Scholar 

  23. Rouzi AA, Sindi O, Radhan B, Ba’aqeel H. Epidermal clitoral inclusion cyst after type I female genital mutilation. Am J Obstet Gynecol. 2001;185(3):569–71.

    Article  CAS  Google Scholar 

  24. Birge O, Ozbey EG, Arslan D, Erkan MM, Demir F, Akgor U. Vulvar epidermoid cyst and type 2 radical genital mutilation. Case Rep Obstet Gynecol. 2015;2015:520190.

    PubMed  PubMed Central  Google Scholar 

  25. Schober MS, Hendrickson BW, Alpert SA. Spontaneous clitoral hood epidermal inclusion cyst mimicking clitoromegaly in a pediatric patient. Urology. 2014;84(1):206–8.

    Article  Google Scholar 

  26. Anderson-Mueller BE, Laudenschlager MD, Hansen KA. Epidermoid cyst of the clitoris: an unusual cause of clitoromegaly in a patient without history of previous female circumcision. J Pediatr Adolesc Gynecol. 2009;22(5):e130–2.

    Article  Google Scholar 

  27. Bhide A, Nama V, Patel S, Kalu E. Microbiology of cysts/abscesses of Bartholin’s gland: review of empirical antibiotic therapy against microbial culture. J Obstet Gynaecol. 2010;30(7):701–3.

    Article  CAS  Google Scholar 

  28. Bhalwal AA, Nick AM, Reis R, Chen CL, Munsell MF, Ramalingam P, et al. Carcinoma of the Bartholin gland: a review of 33 cases. Int J Gynecol Cancer. 2016;26(4):785–9.

    Article  Google Scholar 

  29. Ozdegirmenci O, Kayikcioglu F, Haberal A. Prospective randomized study of marsupialization versus silver nitrate application in the management of Bartholin gland cysts and abscesses. J Minim Invasive Gynecol. 2009;16(2):149–52.

    Article  Google Scholar 

  30. Figueiredo AC, Duarte PE, Borrego JM, Marques CA. Bartholin’s gland cysts: management with carbon-dioxide vaporization. Rev Bras Ginecol Obstet. 2012;34(12):550–4.

    Article  Google Scholar 

  31. Cobellis PL, Stradella L, De Lucia E, Iannella I, Pecori E, Scaffa C, et al. Alcohol sclerotherapy: a new method for Bartholin gland cyst treatment. Minerva Ginecol. 2006;58(3):245–8.

    CAS  PubMed  Google Scholar 

  32. Wechter ME, Wu JM, Marzano D, Haefner H. Management of Bartholin duct cysts and abscesses: a systematic review. Obstet Gynecol Surv. 2009;64(4):395–404.

    Article  Google Scholar 

  33. Kroese JA, van der Velde M, Morssink LP, Zafarmand M, Geomini P, van Kesteren PJ, et al. Word catheter and marsupialisation in women with a cyst or abscess of the Bartholing gland (WoMan-trial): a randomised clinical trial. BJOG. 2017;124(2):243–9.

    Article  CAS  Google Scholar 

  34. Jagdale R, Agrawal S, Chhabra S, Jewan SY. Hydrocele of the canal of nuck: value of radiological diagnosis. J Radiol Case Rep. 2012;6(6):18–22.

    Google Scholar 

  35. Reif P, Ulrich D, Bjelic-Radisic V, Hausler M, Schnedl-Lamprecht E, Tamussino K. Management of Bartholin’s cyst and abscess using the Word catheter: implementation, recurrence, rates and costs. Eur J Obstet Gynecol Reprod Biol. 2015;190:81–4.

    Article  Google Scholar 

  36. Hoffman BL, Schorge JO, Bradshaw KD, et al. Chapter 43: Surgeries for benign gynecologic disorder. In: Hoffman BL, Schorge JO, Bradshaw KD, et al., editors. Williams gynecology. 3rd ed. New York: McGraw-Hill; 2016. p. 926–1002.

    Google Scholar 

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Correspondence to Harvey Winkler .

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El-Neemany, D., Winkler, H. (2020). Excision of Vaginal and Vulvar Cysts. In: Firoozi, F. (eds) Female Pelvic Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-28319-3_14

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  • DOI: https://doi.org/10.1007/978-3-030-28319-3_14

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-28318-6

  • Online ISBN: 978-3-030-28319-3

  • eBook Packages: MedicineMedicine (R0)

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