Journal of Midwifery and Reproductive Health

Journal of Midwifery and Reproductive Health

An Unusual Presentation of Sub Urethral Endometriosis: A Case Report

Document Type : Case Report

Authors
Leila Pourali 1
Amir Hosein Jafarian 2
Atiyeh Vatanchi 3
Mahsa Khajooei 3
Samira Armanpour 4
1 a) Associate Professor, Supporting the Family and the Youth of Population Research Core, Mashhad University of Medical Sciences, Mashhad, Iran b) Department of Obstetrics and Gynecology, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
2 Associate Professor, Department of Pathology, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
3 Associate Professor, Supporting the Family and the Youth of Population Research Core, Mashhad University of Medical Sciences, Mashhad, Iran
4 Gynecologist, Department of Obstetrics and Gynecology, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
10.22038/jmrh.2024.72229.2112
Abstract
Background & aim: Endometriosis is defined as the presence of endometrial tissue outside the uterus. The most frequent sites of implantation are pelvic viscera and the peritoneum. Extra pelvic endometriosis is a rare phenomenon. The aim of this study was to introduce a rare case with unusual presentation of sub urethral endometriosis.
Case report: A 26-year-old woman, gravida 2, parity 2 with eight months history of vaginal bulging and dyspareunia presented to the pelvic floor clinic of a training hospital in Mashhad, Iran. Physical examination revealed a tender cystic mass measuring 2×2cm at the anterior vaginal wall just below the urethral opening. Vaginal ultrasonography revealed a cystic lesion with size of 25×15mm in the anterior vaginal wall. Surgical incision performed and brownish sticky fluid was drained from the cyst. Cystoscopic assessment confirmed an intact urethra and bladder mucousa. Histopathological evaluation was compatible with endometriosis. The patient was symptom free at sixth month postoperative follow up visit.
Conclusion: Endometriosis should be considered in patients with painful vaginal lesion. Complete surgical excision is an acceptable management in these cases.
Keywords
Endometriosis
Diverticulum
Mass
Dyspareunia
Tenderness
Subjects
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Journal of Midwifery and Reproductive Health
Volume 14, Issue 2
Spring 2026
Pages 5432-5435