<prompt> Gartners cyst can be differentiated from cystocele by all exceptNot reducibleNo impulse on coughingPresence of rugosities of overlying vaginal mucosaNone of above  <response>: Ans. is c, i.e. Presence of rugosities of overlying vaginal mucosaRef: Dutta Gynae 6thed, p210Gartners cyst - are cysts of the remnants of Wolffian duct.MC location Anterolateral aspect of vagina and hence are often confused with cystocele.Features of Gartners cyst are: Rugosities of the overlying vaginal mucosa are lost. Vaginal mucosa over it becomes tense and shiny. Margins are well defined. Not reducible. No impulse on coughing. 