Gartner's duct cyst Flashcards
DDx for gartner duct cyst
urethral diverticulum, Skene’s gland cyst or abscess, uterine prolapse, leiomyomata, ectopic ureterocele, cystocele, endometriosis, and malignancy,
What is a gartner duct cyst?
remnant of the mesonephric duct that did not fully regress during development
symptoms of a gartner duct cyst
-mild discomfort
-vaginal pressure
-dyspareunia
-incontinence
-obstructive voiding issues
Describe an office test that can be done to assess for communication between the cyst and bladder/urethra.
inject flourescein into the cyst and the do a cysto.
https://link.springer.com/article/10.1007/s00192-019-04091-9#Bib1
Can also do MRI
You suspect a GDC in your patient and perform a cysto after injecting the cyst with flourescein.
What urinary tract involvement could be missed using this technique?
ectopic ureter
Besides full excision, name other ways to treat a Gartner Duct cyst.
-partial excision/unroofing
-aspiration with or without tetracycline injection
-marsupialization
Besides MRI, what imaging modalities can be used to evaluate a gartner duct cyst?
CT urogram
Pelvic ultrasound-vascularity, cyst content, evaluate bladder and rectum
Describe the steps of the tetracycline injection for treatment of Gartner Duct cyst.
-Apply local anesthetic
-Aspirate the cyst, then inject the same volume of 5% tetracycline
- 24 h later re-aspirate the tetracyline until the cyst walls collapse
Gartner’s duct cyst account for what percentage of vaginal cysts found in adults?
4-21%
Describe the location of a GDC.
anterolateral vagina, usually distal, but can be deep
Describe the histology of the gartner duct cyst.
a single layer of cuboidal to low columnar nonmucinous epithelium
Describe the histology of the skene’s gland.
stratified squamous epithelium.
