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Combined treatment of an infected paraurethral cyst

https://doi.org/10.17709/2409-2231-2021-8-1-7

Abstract

Paraurethral cysts develop on the site of the paraurethral glands (Skin glands), and are a fairly rare pathology in women. The clinical course of paraurethral cysts is often asymptomatic. However, with an increase in the size of the cyst, women have complaints of frequent urination, dyspareunia, painful sensations in the perineum. Persistent microflora contributes to the aggravation of symptoms, up to the formation of an abscess. With inflammation of the paraurethral cyst, there is still no clear treatment algorithm. In this article, we present an observation of a 29‑year‑old woman with signs of an infected paraurethral cyst. We believe that the administration of antimicrobial drugs to women with signs of skinitis in combination with lower urinary tract infection is necessary for the purpose of preoperative preparation. Surgical treatment of an infected paraurethral cyst consisted of opening the abscess, followed by laser ablation of the inner surface of the cyst capsule. In the postoperative period, the patient also received antimicrobial therapy. We did not detect a recurrence of the paraurethral cyst, observing the patient for 1 year.
Conclusion. Combined treatment (a combination of medical and surgical treatment) of an infected paraurethral cyst demonstrates high efficiency.

About the Authors

A. A. Kostin
National Medical Research Radiological Centre of the Ministry of Health of the Russian Federation; Peoples Friendship University of Russia (RUDN University)
Russian Federation

Andrey D. Kostin – corresponding member of the Russian Academy of Sciences, Dr. Sci. (Med.), professor, first vice-rector-vice-rector for scientific work; head of the urology department with courses of oncourology, radiology and andrology of the faculty of Continuous Medical Education; first deputy general director

SPIN: 8073-0899, AuthorID: 193454,

4 Koroleva str., Obninsk 249036

6 Miklukho-Maklaya str., Moscow 117198



L. V. Shaplygin
Peoples Friendship University of Russia (RUDN University)
Russian Federation

Leonid V. Shaplygin – honored physician of the Russian Federation, Dr. Sci. (Med.), Professor of the urology and operative nephrology department with the course of oncourology at the Institute of Medicine

SPIN: 6054-0934, AuthorID: 937059

6 Miklukho-Maklaya str., Moscow 117198



N. G. Kulchenkо
Peoples Friendship University of Russia (RUDN University)
Russian Federation

Nina G. Kulchenko – Cand. Sci. (Med.), urologist, senior lectures of the Departments of histology, cytology and embryology of the Medical Institute

SPIN: 1899-7871, AuthorID: 543055

6 Miklukho-Maklaya str., Moscow 117198



A. Mansur
Peoples Friendship University of Russia (RUDN University)
Russian Federation

Ahmad Mansur – urologist, assistant of the urology and operative nephrology department with the course of oncourology at the Institute of Medicine

6 Miklukho-Maklaya str., Moscow 117198



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Review

For citations:


Kostin A.A., Shaplygin L.V., Kulchenkо N.G., Mansur A. Combined treatment of an infected paraurethral cyst. Research and Practical Medicine Journal. 2021;8(1):69-74. (In Russ.) https://doi.org/10.17709/2409-2231-2021-8-1-7

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ISSN 2410-1893 (Online)