Читать книгу Ridley's The Vulva - Группа авторов - Страница 45

In the neonatal period, vaginal cysts may be found in the anterior or lateral walls of the vagina at the introitus and usually rupture spontaneously. Occasionally one or more of these may enlarge and obstruct the urethra. They are thought to be inclusions from the urogenital sinus epithelium and may persist asymptomatically into adulthood [60]. Mucous cysts are found in the same location, interior to the labia minora and external to the hymen, in about 3% of adults attending a vulval clinic [61]. In addition, the Wolffian ducts, which degenerate in the female, leave caudal remnants in the lateral walls of the vagina. These remnants may undergo cystic degeneration, when they are termed Gartner’s cysts. If large, these can cause dyspareunia or urinary symptoms. Transvaginal ultrasound is helpful to confirm their presence, and surgical excision was reported as successful in a series of 29 patients [62].