Skene Duct Cyst
(Skene's Duct Cyst)
Skene duct cysts develop adjacent to the distal urethra, sometimes causing perineal discharge, dyspareunia, urinary obstruction, or abscess formation.
Skene glands (periurethral or paraurethral glands) are located adjacent to the distal urethra. Cysts form if the duct is obstructed, usually because the gland is infected. They occur mainly in adults. Cysts may form abscesses or cause urethral obstruction and recurrent UTIs.
Most Skene duct cysts are < 1 cm and asymptomatic. Some are larger and cause dyspareunia. The first symptoms may be those of urinary outflow obstruction (eg, hesitancy, dribbling, retention) or of UTIs. Abscesses are painful, swollen, tender, and erythematous but usually do not cause fever.
Skene duct cysts form if the duct is obstructed, usually because the gland is infected.
Cysts may form abscesses, obstruct the urethra, and/or cause recurrent UTIs.
Most are small and asymptomatic; large cysts may cause dyspareunia.
Diagnose Skene duct cysts by physical examination and, if needed, by ultrasonography or cystoscopy.
Excise symptomatic cysts, and treat abscesses with broad-spectrum antibiotics and excision or marsupialization.