Types, causes and treatment of urethral cysts in women
Urethral cyst or paraurethral cyst - it is a rounded formation filled with serous fluid (secret), which is localized in the region of the mouth of the urethra or directly in the channel.
Paraurethral cysts are formed from the vestibular glands of the urethra (from the Skuren paraurethral glands), these glands are located at the external opening of the urethra on the anterior wall of the vagina, throughout the spongy body. Skin glands produce a secret that moisturizes the urethra mucosa. In certain cases, the paraurethral glands become inflamed, the excretory duct is blocked by edema, mucus, epithelium, and bacteria subsequently obliterate the duct, and thus the secretion in the gland continues to accumulate but does not come out, resulting in a cyst with a tendency to slow growth. The blockage of the gland is not always associated with inflammation. There is often a connection with changes in the hormonal background in women at different periods of life.
Most often, cysts of the urethra are formed in women of young and middle age, less often in the elderly, which is associated with physiological hormonal changes.
Paraurethral cyst is a small rounded, tumor-like formation, which is located mainly at the external opening of the urethra, less often in depth from the surface tissues, which significantly complicates the diagnosis of cysts. Paraurethral cyst is palpated by the vagina as a rounded, tight-elastic formation, sometimes with pressure, mucous fluid can be released, when attaching infection and inflammation of the cyst, pus is secreted.
There are 2 types of paraurethral cysts:
- Cysts arising from blockage of small glands located around the urethra,
- Cysts Gartner passage arising on the background of congenital anomalies of the female genitourinary system.
Paraurethral cyst of any type does not regress and does not resolve itself. The longer a cyst exists in the urethra or in its vestibule, the greater the likelihood of an inflammatory process and suppuration. Paraurethral cysts are a favorable environment for the accumulation of stagnant urine and the multiplication of bacteria. Inflammation of the paraurethral cyst can lead to the development of an abscess, which is opened in the urethra with the subsequent development of the diverticulum.
Diagnosis and symptoms of paraurethral cysts
Deep-lying paraurethral cysts are diagnosed based on the clinical picture. Diagnosis is carried out by the method of endoscopic examination of the urethra (urethrocystoscopy), which allows you to determine the localization and size of the formation. Also for the diagnosis of paraurethral cysts applied ultrasound method, conduct.
Differential diagnosis of cysts of the urethra is carried out with such diseases as:
- Vaginal cysts
- Ectropion of the urethra (Karunkul)
- Urethral mucosal prolapse
- Urethral diverticulum
- Tumors of the anterior wall of the vagina
- Condyloma of the urethra.
Symptoms in the presence of paraurethral cysts
- Feeling of a foreign body and discomfort in the urethra,
- Pain and discomfort when walking and having sex,
- Formation of swelling and swelling in the urethra,
- Difficult, periodically increased with sharp urination,
- Mucous or purulent discharge from the region of the vestibule of the vagina.
Reasons for the formation of paraurethral cysts
- Inflammatory processes in the urogenital system (urethritis, vulvovaginitis, sexually transmitted diseases),
- Microtraumas (during sexual intercourse, childbirth, wearing narrow underwear),
- Sometimes cysts are of congenital origin,
- In rare cases, the formation of cysts is associated with the use of irritating means of intimate hygiene, which lead to blockage of the excretory ducts of the glands.
Treatment of paraurethral cysts
- Conservative treatment is directed at eliminating the cause of the cyst formation,
- Radical, surgical treatment involves the complete removal of a cyst.
Surgical treatment of urethral cysts is the only correct and effective way. In case of a paraurethral cyst, the operation can be performed by different methods, with preference being given to the complete excision of the cystic formation. Depending on the type of paraurethral cyst, the operation can be performed both under local anesthesia and under general anesthesia.
Removal of paraurethral cyst: forecasts, risks
Removal of a paraurethral cyst entails certain risks and complications, the probability of occurrence of which depends on the complexity of the paraurethral cyst itself (a complication of an infectious inflammatory process, the size, localization of the formation), and the experience of the urologist. Among the main complications and risks associated with removal of a paraurethral cyst, the following are distinguished: Stricture (narrowing of the urethra) of the urethra, recurrence of the cyst, development of chronic pelvic pain syndrome, urethravaginal and vesicovaginal fistula, hematoma formation, bleeding, recurrent infection.
What is a disease?
A woman's urethral cyst is a circular formation filled with secretory fluid and located at the mouth of the urethra or in it.
Paraurethral cysts are formed from the vestibular glands of the urethra (Skene's glands), located outside the urethral opening on the front wall of the vagina, throughout the spongiform body. Skin glands secrete a secret, the purpose of which is to moisten the mucous walls of the channel. In some cases, the urethral glands become inflamed, the excretory duct is blocked due to edema with mucus, bacteria, epithelium. Then, in connection with the occurrence of the obliteration of the duct, the secret fluid does not come out, therefore, a cyst of the urethra is formed, with a tendency of slow growth.
Congestion of secretory fluid in the gland is not always associated with inflammation - often the disease occurs due to changes in hormonal levels that occur in the human body throughout its life.
In women, the cyst of the urethra is palpated by the vagina, as a round, refractory formation, which can sometimes release fluid when pressed, if there is an infection in the cyst, pus is often released.
Cyst urethra is of two types.
- Gartner's cyst - this type of cyst develops as a result of the pathology of the development of the female urogenital system. It is the result of splicing the embryo of the ducts with the walls of the vagina and urinary tract, which entails the accumulation of secretory fluid in them, from which cysts are formed.
- Skin cysts - result from the blockage of small glands located near the urethra. Externally have the appearance of the bag.
Also, the disease can be: congenital (very rare) and acquired (acquired during life as a result of various reasons).
Cysts of the urethra of any type do not disappear on their own. The longer the process of diagnosis and appropriate treatment is delayed, the greater the risk of inflammation and suppuration. Paraurethral cysts have a favorable environment for the accumulation of pathogenic bacteria and stagnant urine. Inflammation can lead to an abscess, which can open up in the urethra, which will lead to the development of the diverticula.
The cyst of the urethra goes through two stages of development.
- The first thing that happens is the infection of the paraurethral glands, leading to disruption of the urogenital system. At this stage, the first symptoms appear: rapid and painful emptying, as well as urethral discharge.
- In the second stage, an increase in cyst occurs in size, which leads to the addition to the above symptoms of severe pain in the pelvic area and during intercourse. Chronic formation around the cyst focus is possible.
Causes of disease
Consider the most common reasons for which women have a cyst of the urethra:
- diseases of the urogenital system of an inflammatory nature, for example, urethritis,
- injuries and bruises of the urethra,
- hard and rough intercourse, which can provoke microcracks in the urethra,
- birth injuries (perineal dissection),
- birth process (passing the baby’s head through the birth canal),
- chronic diseases that reduce the protective functions of the body,
- immunodeficiency (acquired)
- sexually transmitted diseases and infections,
- use of non-natural hygiene products.
Symptoms characteristic of paraurethral cysts:
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- pain in the perineum when walking,
- carcinoma is a malignant tumor
- formation of diverticulum,
- urethral discharge, including purulent,
- hypersensitivity of the gland due to the appearance of a seal,
- inflammatory and infectious processes in the center of the formation of cysts,
- during emptying - a sensation in the urethra of a foreign body,
- feeling of bursting in localization of cysts,
- pain and burning,
- hematuria - blotches in the urine,
- discomfort during intimacy,
- weak jet during emptying of the bladder,
- pain during urination,
- the formation of swelling in the area of the cyst focus,
- puffiness in the place of cystic formation.
If you find at least one of these symptoms, immediately contact your gynecologist. He will conduct an examination and, if necessary, refer you to a urologist.
After consultation, the following studies can be prescribed for accurate confirmation of the diagnosis:
- tank urine culture,
- urine cytology,
- Ultrasound of the genitals
After receiving and deciphering the history of the doctor will prescribe an individual treatment.
Taking into account the reasons that provoked the development of cyst, appropriate treatment is selected. As a rule, complex therapy is prescribed, which includes a conservative method aimed at suppressing inflammatory and infectious processes, and radical - removal of a cyst.
An efficient way is considered an operation. It can be performed by several methods, but, as a rule, the cyst is completely removed.
It should be noted that the operation to remove a cyst entails risks, while complications depend on the size, location of the formations, as well as the presence of infectious and inflammatory processes in the cyst.
Such complications may occur:
- cyst recurrence or infection
- urethral pain syndrome
- changes in the structure of the urethra (contraction, which often causes the development of inflammation),
- urethro-vesicular-vaginal fistula.
Each woman should remember that any disease can be prevented. To prevent urethral cyst from disturbing you, it is necessary to treat inflammations of the genital organs and the urogenital system in time, and also to eliminate sexually transmitted infections (chlamydia, trichomoniasis) in a timely manner, it is recommended to use a condom during intimacy. It is also necessary to adhere to the rules of personal intimate hygiene and not to use cosmetics with flavors, preservatives, chemicals.
Women, listen to your body - it will let you know in time about possible health problems.
Causes of Paraurethral Cysts
Most often, the development of cyst urethra lead to:
- The processes of inflammation of the urogenital sphere,
- Urinary trauma,
- Microtrauma of the urethra, which has arisen due to gross sexual contact,
- Process of generic activities
- Trauma in the process of natural labor, for example, dissection of the perineum,
- The presence of diabetes,
- Intimate hygiene with improper quality cosmetics,
- Infection from diseases transmitted through unprotected sex,
- Diseases that reduce the overall immune defense of the body,
In the presence of at least one of the above reasons, you need to be extremely wary of their health. You should pay attention to even the slightest manifestations of any discomfort from the urinary system.
Symptoms of cyst urethra
If there is a cyst of a small size, patients may not present any complaints, since there are no manifestations of the disease. In the case of a large-sized para-tetra cyst, there are complaints of severe discomfort and tenderness in the urethra.
The following symptoms are considered most common:
- Violation of the process of urination,
- The presence of swelling of soft tissues around the cyst,
- Discomfort sensations accompany the process of movement, as well as sexual intercourse,
- The appearance of discharge from the urethra purulent nature,
- A bursting feeling about a cyst, a feeling that something is crushing inside,
- Burning and soreness in the urethra,
- Slow urine excretion during urination,
- Coughing when urinating,
- Swelling of the tissues surrounding the cyst,
- Cystic formation is surrounded by edematous tissues,
- Inability to control the process of urination,
- There is a foreign body in the urethra
- The appearance of the diverticula of the urethra.
The cyst of the urethra is not able to disappear or dissolve. If you find yourself in the above symptoms, you should visit a specialist as soon as possible.
Treatment of paraurethral cyst
When prescribing treatment for a cyst of the urethra, the reasons that provoked the development of the disease are taken into account.
If the symptoms do not respond and do not cure the disease, you can provoke the development of suppurative process. This will make it harder to remove a paraurethral cyst and may cause dangerous effects after surgery. If the cyst has burst, it will also significantly complicate the patient’s further recovery.
The most common combination of a conservative method and surgery. Appointed a powerful anti-inflammatory therapy, which can eliminate the infectious process.
The fastest and most effective method is the operation, during which the excision of the cyst is performed. Operational treatment has a certain risk, which depends not only on the location and volume of the formation, but also on the concomitant process of inflammation in the cyst.
Only the operation will help to finally get rid of the cyst, during which the surgeon will carefully excise all the walls of the cyst. It takes several days to heal a wound. In the future, you need about two months to exclude sex. During this period there will be a full rehabilitation of the patient after the removal of the formation.
Folk remedies for the treatment of cysts of the urethra
Treatment of folk remedies can be used as an auxiliary.
The most effective are:
- Burdock Pressed juice of young leaves is used for treatment. It is taken orally or injected with a swab into the vagina.
- Infusion of herbs. It should be in equal proportion to take the leaves of wormwood, yarrow, sage, clover and succession. The resulting mixture is poured boiling water and infused for 10 hours.
- Celandine. Mix equal parts of alcohol and celandine juice. A few drops of the resulting tincture are added to the water and taken orally.
Do not use in the treatment of herbs only, be sure to combine this method with traditional methods to get rid of the cyst of the urethra.
The patient's behavior after surgery largely determines its effectiveness. The operating surgeon will explain in detail what to do after the operation and give recommendations to each patient individually.
In the first days after cyst removal, certain postoperative care of the wound needs to be carried out, which will not allow it to fester and lead to the development of adverse complications.
In addition to excluding sexual intercourse in the first 2 months, you should limit general exercise.
Consequences of paraurethral cyst
If there is no adequate and timely treatment of urethral cysts, the development of the following complications is not excluded:
- Recurrent infection
- Pain in the urethra,
- Stricture formation,
- Complications in the form of fistula development.
- The simplest method of preventing the development of paraurethral cysts is timely rehabilitation and competent treatment of foci of acute and chronic infections of the urogenital system.
- You should be careful about choosing a sexual partner and, if necessary, use condoms.
- Care should be taken to cosmetics for hygiene, choosing cosmetics based on natural ingredients.
- Buy underwear made from high-quality and natural fabric.
- Periodic visits to the gynecologist and urologist will also help prevent the disease.
Competent prevention and proper treatment will help to avoid adverse effects and maintain health.
Paraurethral cysts are detected in 1.7-3% of women of childbearing age, up to 84-85% of patients are between the ages of 20 and 50 years. The disease was first described in 1880 by Skin and Westbrook. Embryonic derivatives of the urogenital tract, Skuren's paraurethral glands, which are the female prostate homologue, and the Gartner's duct, whose cleft is observed in 24-25% of patients, are the source of the formation of retentional fluid formations. Normally, the skinije glands secrete a secret necessary for moistening the urethral mucosa and creating a barrier that prevents microorganisms from entering the urethra from the eve of the vagina.
Causes of Paraurethral Cyst
The formation of a benign retention formation in the distal urethra results from the accumulation of secretions in case of blockage of the tabernacle gland or hypersecretion of the epithelium of an open gartner's passage. According to the observations of specialists in the field of urology, obstetrics and gynecology, the most common causes of the appearance of cysts of paraurethral glands are:
- Inflammation of the urethra. Cysts of the distal urethra often develop on the background of the transferred urethritis. Almost half of the patients in the genesis of pathology established the role of gonococci, in other cases the inflammatory changes in the mouths of the tabernacle glands were caused by activated conditionally pathogenic flora.
- Traumatic injury to the urethra. Obliteration of the paraurethral gland, especially in patients with female hypospadias, can provoke gross sexual intercourse. Post-traumatic obstruction of the duct with the formation of a cyst is also possible after an episiotomy or crushing of tissues during childbirth when they are pressed by the head of the fetus.
- Perform invasive procedures. In some patients, skinny cysts develop after extinguishing and bougienage of the urethra, gartner's - after colposcopy, colporrhaphy, laser therapy. In recent years, paraurethral cystic formations have been identified in women who have undergone suburethral loopback plastics (TVT, TVT-O).
In some cases, cysts are congenital or are of unknown origin. The presence of genital infections (vulvovaginitis, bacterial vaginosis, colpitis, endocervicitis) is considered to be a factor increasing the risk of cyst formation in the paraurethral zone. The risk group also includes women with reduced immunity due to chronic diseases, diabetes, HIV infection, and taking immunosuppressive drugs.
The mechanism of formation of skin paraurethral cysts is based on the obstruction of the glands under the influence of various damaging factors. In inflammatory processes, obturation occurs as a result of seeding of mucosal ducts and cavities of the taberian gland by microorganisms. Edema, and then the obstruction of the mouth, provoke a delay in secretion and inflammatory exudate. Paraurethral gland increases in size and is gradually transformed into a retention cyst. As it grows, the formation protrudes into the genital slit, displaces and compresses the urethra. A possible spontaneous rupture of the cyst wall is completed by draining its contents into the urethra.
The pathogenesis of post-traumatic and iatrogenic cystic formations is similar, however, in these cases obstruction of the gland cavity is caused by direct destruction of the duct or non-infectious inflammation of the damaged tissues. According to some authors, paraurethral cyst formation is the first stage of urethral diverticulosis. Cysts gartnerovogo duct, as a rule, are formed due to post-traumatic accumulation of secretions in the rudimentary wolf duct. The role of infectious agents in the occurrence of such paraurethral formations has not yet been established.
Systematization of forms of paraurethral cysts is carried out taking into account the time of their formation and origin. This approach allows you to choose the best method of treatment of the disease. Retention cystic formations are extremely rarely congenital, in most cases, the pathology has an acquired character. Depending on the embryological origin, urogynecologists distinguish:
- Skynievye cyst. They are formed from Skene glands, which are histologically rudiments of the prostate gland and open in the distal part of the urethra. Detected in 65-70% of patients with paraurethral fluid formations. Are removed through urethral access.
- Gartner stroke cysts. Occur from the rudimentary residue of the Wolf duct. Although topographically located in the paraurethral area, they never communicate with the urethra. The growth of retention education usually occurs in the direction of the vagina and parametrium. Extirpation is performed from vaginal access.
Symptoms of Paraurethral Cyst
The disease is latent for a long time. In 75% of cases, patients independently detect palpable elastic mass in the area of the external urethral opening. The clinical picture in 81% of women is represented by urinary disorders: pain, cutting, burning, frequent urging, the appearance of mucous discharge from the urethra. With the progression of the process in the tissues surrounding the cyst, chronic inflammation develops, there are pains in the pelvic region, discomfort during sexual intercourse, there is an aggravation of the clinic after intercourse. Sometimes there is turbidity of urine, pain and induration of the paraurethral zone, complaints of distention, foreign body sensation in the urethra, difficulty urinating or enuresis. General symptoms in the form of fever, weakness is extremely rare.
With the stagnation of urine and the ingress of pathogenic microorganisms into the cavity of the cyst, an abscess occurs that can be opened into the lumen of the urethra and the vagina with the formation of a urethro-vaginal fistula. Microbial contamination promotes the involvement in the inflammatory process of the overlying sections of the urinary system with the development of cystitis, pyelonephritis. The condition may be complicated by the formation of the urethral diverticulum (protrusion of the wall of the urethra). Permanent trauma to the lesion and the effect of infection sometimes lead to hyperplastic proliferation of the mucosal epithelium, therefore, in patients with a paraurethral cyst, the risk of a benign neoplasm increases. The most serious complication - carcinoma - occurs extremely rarely.
Prognosis and prevention
The effectiveness of radical surgical treatment in cystic formations of the paraurethral zone reaches 83-97%. To prevent the development of the disease, women are advised not to allow hypothermia, to refuse to wear tight clothes and underwear made of synthetic materials, to refrain from unprotected sex and sexual intercourse with unfamiliar partners. It is necessary to empty the bladder regularly to avoid stagnant urine and microorganism multiplication. An important role in the prevention of paraurethral cysts play periodic gynecological examinations, timely and adequate therapy of urogenital infections.
Symptoms of a cyst of an urethra
If the paraurethral cyst is small, the symptoms of the disease may be absent. When the neoplasm increases in size, patients complain of the following symptoms:
- failure in urination (cramps, slow urine output, inability to control urination),
- swelling of soft tissue
- discomfort during intercourse,
- purulent discharge from the urethra,
- feeling of bursting
- hematuria (presence of blood in the urine),
- soreness and burning in the urethra,
- foreign body sensation
- appearance in the urethra diverticulum.
If a similar clinical picture occurs, you should immediately consult with your doctor, since the lack of treatment for a paraurethral cyst can lead to serious complications and consequences.
Drug and folk treatment
Without surgery to remove completely get rid of cysts of the urethra is impossible. But the treatment in any case will be complex, as long as there is an inflammatory process in the urethra, surgery is not performed. Opening a paraurethral cyst without removing it gives only a temporary effect, since the neoplasm remains in place. Doctors perform emergency surgery only with strong suppuration and suspected rupture of the capsule formation.
The conservative treatment of cysts of the urethra is the relief of the infectious process. The content of the formation is pumped out, and the patient is prescribed antibacterial agents - Ofloxacin, Norfloxacin. Antibiotic therapy is prescribed by experts for up to 14 days. After the contents of the seal is pumped out, its excision is scheduled for a month.
Folk remedies and treatment methods for urethral cysts can only be used as an adjuvant therapy. Among the most effective tools include:
- Burdock juice, which is taken orally and is inserted with the swab into the vagina.
- Wormwood, succession, sweet clover, sage, yarrow. It is necessary to take in equal quantities, brew with boiling water and insist 10 hours. To accept inside or to enter into a vagina.
- Celandine juice in a 1: 1 ratio is mixed with alcohol. 3-4 drops of tincture is added to half a glass of water and taken orally.
Use in the treatment of cyst urethra only recipes of traditional medicine is not only impractical, but also dangerous. It is necessary to combine traditional methods with traditional methods of therapy.
Removal of paraurethral cyst
An effective method of treating a cyst of the urethra is its removal. In modern surgery, for this purpose, the method of complete excision of tumor walls is used. The operation is performed under local or general anesthesia. The most commonly used laparoscopic method of removal.
Through small punctures in the abdominal cavity, the surgeon performs all the necessary manipulations, watching the operation progress through the computer monitor. The risk of serious injury during surgery is minimal.
After the paraurethral cyst is removed, the doctor inserts a catheter into the urethral canal and the patient must be in the hospital for several days. After being discharged home, it is necessary to drink away the course of antibiotics prescribed by the doctor and abandon the intimate life for a period of 2 months.
The result of the operation depends on the literacy and qualifications of the doctor, therefore it is recommended to seriously consider the choice of clinic and specialist.
Depending on the complexity of the intervention, the following complications may occur after removal of a cyst of the urethra:
- narrowing of the urethra,
- re-formation of compaction
- regular pain
- suppuration and vaginal fistula,
Without the removal of a cyst, it sooner or later fester. In addition to an abscess, this phenomenon will lead to chronic cystitis and urethritis. With timely excision of the tumor, the prognosis is favorable.
In the postoperative period, you must observe the following rules:
- timely treat all sexually transmitted infections,
- follow the rules of intimate hygiene,
- wear natural fabrics underwear,
- regularly visit the gynecologist and urologist with preventive purposes,
- immediately treat all diseases of the urinary system,
- avoid urinary stagnation (regularly emptying the bladder),
- strengthen your immune system in every way possible.
Preservation of health for many years is one of the most important tasks of every woman and any man, therefore, for any painful sensation in the pelvic region, discomfort or the presence of secretions, you should seek the advice of a doctor. We must not forget that the cyst of the urethra can be transformed into a malignant neoplasm.
The cyst is rarely formed and it is very difficult to diagnose. This paraurethral pathology of the urethra in most cases develops imperceptibly for the patient, but the sooner its treatment is started, the better the outcome of the situation, since the glands necessary for normal functioning of the genitourinary system occur. The disease is quite rare, most often women aged 20-50 suffer from it.
The female urinary system is arranged differently than in men, so the representatives of the stronger sex cyst in the urethra does not develop. In women, in the urethra there are many glands that look like clusters. Under the influence of many factors, they undergo significant changes: they can grow in size, atrophy (during menopause). That is why the cyst develops in the reproductive age. In the international classification of diseases ICD-10, the disease is assigned the code D 30.7.
Pictured cyst of the urethra in women
In medicine, there are several classifications of neoplasm of the urethra. They can be formed in the skin or gartner course. In the first case, the fluid is blocked in the gland near the urinary tract, in the second, a cyst is formed when the ducts and wall of the urethra are fused with the vagina.
By the origin of the cyst can be:
The first ones are caused by pathologies of prenatal development and are rarely diagnosed in women. Acquired the same may appear at any stage throughout life. In this case injuries, inflammations and other deviations in the work of the urinogenital system can be attributable factors.
Causes of formations
Education is formed during the inflammatory process that occurs on the glands. They swell and are blocked by epithelial cells and bacteria. The mucus produced for moistening the canal does not find an outlet, it accumulates and forms a cyst. A hormonal imbalance can cause a similar violation. The density of education is high, the shape is rounded. Her infection is accompanied by purulent discharge.
Causes of congenital cyst formation are pathologies of the urethra and vagina. It is between these organs that it is formed.
Acquired seals result from:
- Inflammatory processes of the reproductive and urinary system,
- Injuries during labor,
- Diabetes mellitus
- Reduced immunity
- Genital bruises,
- The wrong choice of intimate hygiene products.
Symptoms of manifestation
In the initial stages of the disease proceeds almost imperceptibly. Discomfort is manifested only in the case of complications caused by an infectious-inflammatory process.
With the growth of education, the patient begins to feel the following symptoms:
- Inconvenience when walking,
- Pain when entering into sexual intercourse,
- Feeling of a foreign object in the urethra,
- Painful urination,
- Trips to the toilet are frequent, intermittent and difficult.
About the presence of cysts in the urethra, some women find out only at a reception at the urologist or gynecologist. With strong inflammation, purulent discharges are added to the listed symptoms of the cyst.
Treatment of folk remedies cysts is not used as the main method of treatment. It may be an auxiliary step in the recovery path after surgical removal of the formation.
The most effective are:
- Herbal infusion made from equal proportions of wormwood, yarrow, string, sweet clover and sage. Herbs poured with boiling water should be infused for about 10 hours.
- Celandine. In equal proportions, the juice from it is mixed with alcohol. The resulting composition is added to water (only a few drops) and consumed inside.
- Burdock The juice from the young leaves of the plant is ingested. It can also be inserted into the vagina on the swab.
When choosing a component of the recipes of traditional medicine should be avoided those for whom there is an allergy. Herbs in the treatment must be combined with drug therapy.
Causes of cyst urethra in men and women
A cyst of an urethra - roundish hollow education which is formed from glands of an urethra. Education can reach 2-4 cm in diameter. It is filled with a mucous membrane. Most often it develops at the external opening of the urethra and much less frequently in the depth of the tissues.
The female urethra and the area around the urethra are densely covered with small glands of skin. They moisturize the mucous membranes. In different life periods, the glands undergo significant changes:
- Increase during pregnancy
- Involve after childbirth,
- Atrophied with menopause.
During these processes, narrowing or blockage of the glands of the glands may occur. The secreted secretion remains inside the cavity, stretches it, is converted into a urethral cyst.
Cyst urethra may be formed for the following reasons:
- Genitourinary infections
- Birth injuries,
- Cesarean section,
- Bruises of the external genital organs (blow of the crotch on the bicycle frame, microtrauma due to rough sexual intercourse).
The risk of developing a cyst of the urethra increases in patients suffering from diabetes, immunodeficiency, using soap means of care for the intimate area.
Symptoms and diagnosis of urethral cysts
Doctors distinguish 2 types of cystic formations of the urethra in women: the tabernacle cyst and the gartner's cyst. In the first stage, the disease is asymptomatic. Gynecologists find such cysts by chance, during a routine examination. As the disease progresses, the woman begins to notice discomfort during urination and uncharacteristic discharge.
In the second stage of the disease appears pain and discomfort during sexual intercourse. The following symptoms periodically appear:
- Purulent discharge,
- Feeling of a foreign object in the perineal area or in the vagina,
- Temperature rise,
- Intermittent or difficult urination
- Excretion of urine drops after urination.
Due to the similar symptoms of urethral cysts with manifestations of other urogenital diseases and a large variety of factors that lead to the occurrence of these diseases, their diagnosis is quite a challenge. Incorrect treatment of clinical symptoms can lead to the appointment of inadequate treatment of the lack of positive results. The examination of patients with suspected pathology of the genitourinary system in the Yusupov hospital includes the following research methods:
- Gynecological examination,
- Laboratory diagnostics (clinical analyzes, bacteriological examinations of urine and secreted contents of cystic formations),
- Instrumental, radiation, urodynamic, endoscopic diagnostics.
In the Yusupov hospital, a comprehensive examination, including magnetic pelvic tomography and three-dimensional ultrasound, is performed by doctors of the highest category, candidates of medical sciences. Severe cases of disease are discussed at a meeting of the Expert Council with the participation of professors, leading experts in the field of urogynecology and vaginal surgery.
Urethrocystoscopy is a study that is performed using an endoscope with local anesthesia. If a woman behaves restlessly, doctors perform the procedure under general anesthesia. The results of urethrocystoscopy allow you to judge the size and location of the cyst.
Ultrasound examination is performed by a vaginal sensor. The method is completely painless.
Treatment and prevention of urethral cysts
Regardless of the stage of progression of the urethra cyst in women, medical treatment is a temporary measure that is taken before or after surgery. The indication for taking medicines is an inflammatory process that does not allow for surgery.
If the conservative treatment is delayed, the cyst is sometimes opened to relieve the patient's condition a little and avoid premature rupture of the tumor formation. The manipulation is carried out with full sterility. Through a small puncture on the wall of the cyst, pus is sucked off. The patient is prescribed an antibacterial drug. After some time, the cavity again filled with content. The gap between the autopsy is 1 month. Repeating the procedure weakens the cyst tissue, increases the likelihood of spontaneous dissection.
A radical measure, which allows you to get rid of cysts of the urethra, is surgery. The operation is performed under local or general anesthesia. During surgery, the doctor performs excision of the walls of the cystic formation. In the Yusupov hospital, surgical intervention is performed using endoscopic equipment from leading world manufacturers.
In the postoperative period the following complications are possible:
- Constriction of the urethra
- Increase in sustained pain,
- Purulent fistulas on the walls of the vagina,
Compliance with the following rules will help avoid the formation of urethral cysts in women:
- Timely treatment of inflammatory diseases of the female reproductive and genitourinary system,
- The use of barrier contraceptives that minimize the risk of infection with pathogens, sexually transmitted infections,
- The use of underwear classic models of natural materials,
- Personal hygiene
- Regular routine check-ups by a gynecologist.
A woman should avoid stressful situations, overwork. If anxiety symptoms appear, you should immediately consult a doctor. Daily at any time, call. Specialists contact center will record you at the reception at a convenient time for you.