Vaginal bulge is not always prolapse; could be a cyst

34yo G0 referred to Urogynecology for a vaginal bulge and occasional dyspareunia. On the exam she had a 4 cm anterior vaginal cystic mass without pelvic organ prolapse. The differential diagnosis for benign vaginal cysts is broad including M üllerian or Gartner’s (mesonephric) ducts, Skene’s, Bartholin gland, epidermal inclusion, or endometriotic cysts, adenosis, or urethral diverticulum. Vaginal cysts may present with or without symptoms. Most are secondary to embryological remnants or trauma. Müllerian ducts form the fallopian t ubes, broad ligament, uterus, cervix and upper part of the vagina.

Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: A Trikhacheva, K Dengler, T Murdock, D Gruber Source Type: research