Skene's glands abscess an overlooked diagnosis in acute lower urinary symptoms

Tamburrini, Stefania; Vascone, Carmine; Marrone, Valeria; Catalano, Marco; Biondo, Dario Del; Gallo, Luigi; Quassone, Pasquale; Lugarà, Marina; Coppola, Maria Gabriella; Simone, Fiore De; Napodano, G.

doi:10.1016/j.radcr.2021.09.006

Cited by 3 publications

(5 citation statements)

References 21 publications

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“…Although dyspareunia and dysuria are the most common presenting symptoms, others may include pain, presence of a palpable mass, urinary tract infections, or obstructive voiding symptoms. 1,2,7 The dog of this report had a palpable firm structure that was visualized on the lateral aspect of the urethral papilla. In women, approximately half of Skene's gland abscesses can be palpated and may be visualized as an erythematous painful mass lateral to the urethra.…”

Section: Discussionmentioning

confidence: 83%

“…In women, diagnosis of this condition is based on historical information and physical examination. Although dyspareunia and dysuria are the most common presenting symptoms, others may include pain, presence of a palpable mass, urinary tract infections, or obstructive voiding symptoms 1,2,7 …”

Section: Discussionmentioning

confidence: 99%

“…Skene's glands, or lesser vestibular glands, are a subset of paraurethral glands that, when inflamed, have been implicated in the manifestation of acute lower urinary tract symptoms of women 1,2 . The paraurethral glands are homologous to the prostate gland in males.…”

Section: Introductionmentioning

confidence: 99%

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Lesser vestibular periurethral gland‐like inflammation associated with lower urinary tract signs in a female dog

Price,

Slead,

Secoura

et al. 2023

Veterinary Internal Medicne

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Case DescriptionA 4‐year‐old female spayed mixed breed dog presented with a 2‐year history of painful urination and recurrent hematuria.Clinical FindingsThe dog had a large sensitive bladder, palpation of which was followed by painful urination. Pollakiuria accompanied by vocalization were noted during observation of voiding.DiagnosticsCystoscopy identified a focal, rounded expansion of epithelial tissue in the right lateral aspect of the urethral papilla containing purulent material consistent with an abscess. A sample submitted for culture yielded growth of Staphylococcus pseudintermedius and Proteus mirabilis.Treatment and OutcomePurulent material was expelled by manual pressure during cystourethroscopy. Enrofloxacin (10 mg/kg PO q24h for 42 days) and carprofen (4.4 mg/kg PO q24h for 14 days) were initiated. Clinical signs resolved within 2 days.Clinical RelevanceInflammation in the region of the lesser vestibular paraurethral glands should be considered as a differential for female dogs presenting with chronic dysuria.

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Section: Discussionmentioning

confidence: 83%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Lesser vestibular periurethral gland‐like inflammation associated with lower urinary tract signs in a female dog

Price,

Slead,

Secoura

et al. 2023

Veterinary Internal Medicne

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“…Etiological factors of Skene's gland cysts include infections or mechanical trauma while the most important differential diagnosis is the urethral diverticulum which is usually located on the middle urethra. 15 The history, physical examination, and urethrocystoscopy are often sufficient to set the diagnosis of the simple cyst or Skene's gland abscess. Transperineal ultrasound and MRI can be useful tools for a more detailed examination with the use of MRI as the gold standard examination of female urethra.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Large Cyst of Skene Gland: A Rare Perineum Mass

et al. 2023

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Objective In this report we present a rare case of a large cyst of Skene gland in a female patient with a palpable vaginal mass persisting for at least 2 years. Case Report A 67-year-old female admitted to the department of urology due to the presence of “a vaginal mass” for the past 2 years. A cyst of Skene's duct was suspected based on clinical manifestation and findings of magnetic resonance imaging showing an extensive cyst formation in the upper vaginal area and anterior to the urethra. Based on these findings, a decision for surgical removement of the cyst was made. The cyst was incised, drained, and marsupialized. The postoperative recovery was uneventful, and the patient was discharged on the second postoperative day. Conclusion High clinical suspicion is important to reach this rare diagnosis. Partial excision and marsupialization of the cyst is a simple procedure with low morbidity, without recurrence, and excellent results.

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