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International Urogynecology Journal

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01-01-2020 | Tetracyclines | Review Article

Gartner’s duct cysts: a review of surgical management and a new technique using fluorescein dye

Authors: Sida Niu, Ryan D. Didde, Jennifer K. Schuchmann, Dani Zoorob

Published in: International Urogynecology Journal | Issue 1/2020

Abstract

Introduction and hypothesis

Gartner’s duct cysts (GDC) are benign lesions that may become symptomatic, leading to surgical intervention. There is no standard surgical technique for management of GDC. This article provides a comprehensive review of surgical the management of GDC. We also present a new technique using fluorescein dye to help delineate GDC walls and facilitate complete cyst excision.

Methods

We conducted a PubMed search for English-language articles without a defined time range. The search combined subject headings, title, abstract, and text words relating to Gartner duct cysts. Articles describing surgical management of GDC were included. Exclusion criteria included inadequate diagnosis of GDC, infected cysts, nonsurgical management, or article unavailable for interlibrary loan. A novel approach using intra-cyst fluorescein dye injection is described.

Results

Two hundred sixty-seven articles were identified via PubMed, and 34 articles were included in the review based on eligibility criteria. Concomitant genitourinary malformations occurred in 19 of the 92 surgically managed patients. Surgical techniques included cyst excision (50 patients), tetracycline injection following aspiration (15), marsupialization (14), unroofing/partial excision (9), and puncture/evacuation (4). Recurrences occurred in 4, 1, 0, 0, and 1 patient, respectively. One patient underwent uncomplicated fluorescein dye-assisted cyst excision with no recurrence 30 months post-procedure.

Conclusions

The low incidence of GDCs necessitating surgical intervention has resulted in a lack of standard surgical technique, especially in patients with concurrent genitourinary malformations. Utilizing fluorescein dye provides a surgical method that can help confirm the absence of urologic involvement as well as facilitate precise excision of GDC.

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Title: Gartner’s duct cysts: a review of surgical management and a new technique using fluorescein dye
Authors: Sida Niu
Ryan D. Didde
Jennifer K. Schuchmann
Dani Zoorob
Publication date: 01-01-2020
Publisher: Springer International Publishing
Keyword: Tetracyclines
Published in: International Urogynecology Journal / Issue 1/2020
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-019-04091-9

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Gartner’s duct cysts: a review of surgical management and a new technique using fluorescein dye

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

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