Background: Urothelial cysts are rare vaginal wall cysts usually benign derived from periurethral and skene glands situated low in vagina in close proximity to urethra due to its urogenital sinus derivation. These are lined by transitional epithelium when observed under microscope for histopathological examination. Here we are reporting one such uncommon case report of urothelial cyst.
Case Report: A 26 year old nulligravida came to outpatient department with complaints of mass per vaginum since 7-8 months associated with discomfort and dyspareunia. On per speculum examination, the swelling was 5x4cm occupying the left lateral wall of lower vagina till the level of introitus. The swelling was fluctuant and cystic, non-tender with distinct margins, not associated with any palpable regional lymphnodes. Underwent cyst excision and HPE s/o benign urothelial cyst.
Conclusion: It has good prognosis as it’s a benign entity however long term surveillance to be considered.
Keywords: Urothelial cyst, Vaginal wall cyst, Benign.