A 65-year-old female patient presented with sacrococcygeal pain, discomfort in the perineum, and incomplete urinary incontinence. This incontinence was exacerbated by coughing or sneezing, causing urine leakage that significantly impacted her daily life and social activities. Additionally, urinary leakage occurred whenever she experienced perineal pain.
A magnetic resonance imaging (MRI) examination conducted at other hospital revealed the presence of a sacral cyst, prompting the patient to seek surgical intervention at our hospital. During the surgery, it was discovered that the sacral cyst had a high-flow leakage and high internal pressure. The cyst was successfully sealed, and the surgery proceeded smoothly.
Postoperative MRI confirmed the satisfactory closure of the sacral cyst, as indicated by the red arrow.