Published online Dec 26, 2018. doi: 10.12998/wjcc.v6.i16.1199
Peer-review started: October 18, 2018
First decision: November 8, 2018
Revised: November 12, 2018
Accepted: November 23, 2018
Article in press: November 24, 2018
Published online: December 26, 2018
Vaginal abscess is a treatable disease and should be considered in female patients with voiding difficulties and perineal tenderness. There are no reported cases of vaginal abscess causing voiding dysfunction in the absence of a previous surgery. Early diagnosis and drainage of vaginal abscesses may lead to excellent outcomes.
We presented a case of vaginal abscess that caused voiding dysfunction without surgery history. A 64-year-old woman had a past history of type 2 diabetes mellitus. She came to our clinic following urinary difficulty with perineal tenderness. Bladder ultrasonography revealed a pelvic cystic lesion with a mass effect on the bladder. The presence of a vaginal abscess was suspected following pelvic examination and transvaginal ultrasound. After transvaginal drainage of the vaginal abscess and a full course of antibiotic treatment, she recovered well without any urination symptoms.
Voiding dysfunction caused by vaginal abscess is rare but should be considered in female patients with perineal tenderness.
Core tip: Vaginal abscess is a treatable disease and should be considered in female patients with voiding difficulties and perineal tenderness. To our knowledge, this is the first reported case of vaginal abscess causing voiding dysfunction in the absence of a previous surgery.