Suburethral endometrioma. A case report.

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AI-generated summary by claude@2026-06, 2026-06-09

This case report describes the successful surgical excision of a suburethral endometrioma in a nulliparous woman, highlighting ultrasonography and cystourethrography as useful diagnostic tools.

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Abstract

BACKGROUND: Extrapelvic endometriosis may occur at unusual sites. We report a rare case of an endometrioma presenting as a suburethral mass in a woman without a previous surgical history. CASE: A 27-year-old, nulliparous woman presented with a painful suburethral mass, dyspareunia and voiding difficulty. Ultrasonographic examination showed an echolucent mass over the suburethral area measuring 3.7 cm in diameter. Double-balloon cystourethrography showed that the mass did not communicate with the urethral lumen. Complete excision was performed later. The final pathologic examination revealed endometriosis. CONCLUSION: Extrapelvic endometriosis should be considered as a possible diagnosis for a suburethral mass even if no pelvic endometriosis is detected from a detailed history and vaginal examination. Ultrasonography and double-balloon cystourethrography may be helpful for clinical evaluation. Complete excision is advisable for management of a suburethral endometrioma.

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Condition tags

mesh:D004715endometriosisendometriomadyspareunia

MeSH descriptors

Endometriosis Endometriosis Urethral Diseases Urethral Diseases Adult Endometriosis Endometriosis Female Humans Ultrasonography Urethral Diseases Urethral Diseases

Citation neighborhood

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europepmc
last seen: 2026-06-04T01:30:01.192114+00:00
openalex
last seen: 2026-06-10T17:14:06.276822+00:00
pubmed
last seen: 2026-05-13T22:12:55.732728+00:00
License: CC0 · commercial use OK