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A 43-year-old woman had a paraurethral mass causing discomfort during sexual activity.
Physical examination revealed a firm, smooth, nontender, nonfluctuant mass without
any associated discharge. It was located anterior to the urethral meatus and inferior
to the clitoris (Figure 1). Magnetic resonance imaging (MRI) demonstrated a well-circumscribed, pedunculated
growth measuring 2.1 × 1.9 × 2.1 cm (Figure 2). On T1-weighted images, its signal intensity was lower than that of muscle. T2-weighted
images indicated that the mass had a higher signal than muscle, and it was encircled
by a hyperintense signal similar to that of peripheral fluid.
FIGURE 1Large paraurethral mass anterior to urethral meatus and inferior to clitoris.
FIGURE 2Paraurethral mass captured with magnetic resonance imaging. A, Mass (arrow) in axial T1-weighted image had lower signal intensity than that of muscle within
distal vagina. B, Axial T2-weighted image shows mass (arrow) with signal intensity slightly higher than that of muscle. It is surrounded by high-intensity
signal similar to that associated with fluid (arrowhead). C, Sagittal T2-weighted image shows mass (arrow) arising from anterior urethral wall and pedunculated from area between meatus and
clitoris. Signal intensity is slightly higher than that of muscle.
