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It is a benign vaginal cystic lesion that arises from the Gartner's duct, which is a vestigial remnant of the mesonephric duct (wolffian duct) in women.They are typically small asymptomatic cysts that occur along the lateral walls of the vagina.They can present in adolescence with painful menstruation (Dysmenorrhea) or difficulty inserting a tampon. They can also enlarge to substantial proportions and be mistaken for urethral diverticulum or other structures.
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Vaginal cysts represents a large percentage of assistance to gynecological consultations. In Ecuador it is estimated that a large percentage of women attend the gynecological consultation for the different vaginal cysts in relation to the cyst of the gartner duct. It is estimated that around 8% to 10% of women attending the consultation are due to vaginal cysts.
Gartner's cysts, although infrequent,suggest that we consider a differential diagnosis of any other vaginal mass. This will allow us to perform a more adequate and safe treatment.
Treatment depends on the symptoms it triggers, it is isually surgical and in all cases the differential diagnosis of other concomitant genetourinary malformations should be investigated.