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Skene Duct Cyst

(Skene's Duct Cyst)

By S. Gene McNeeley, MD, Hutzel Women’s Hospital;Michigan State University, College of Osteopathic Medicine, Hutzel Women’s Health Specialists

Skene duct cysts develop near the opening of the urethra when the ducts to the Skene glands are blocked.

  • Large cysts may cause pain during sexual intercourse or problems urinating.

  • Cysts that cause symptoms can be removed.

Skene glands, also called periurethral or paraurethral glands, are located around the opening of the urethra. The tissue that surrounds them includes part of the clitoris. The glands may be involved in sexual stimulation and lubrication for sexual intercourse.

Cysts are uncommon. They form if the duct to the gland is blocked, usually because the gland is infected. These cysts occur mainly in adults. If cysts become infected, they may form an abscess.

Symptoms

Most cysts are less than 1/2 inch (about 1 centimeter) in diameter and do not cause any symptoms. Some cysts are larger and cause pain during sexual intercourse. Sometimes large cysts block the flow of urine through the urethra. In such cases, the first symptoms may be a hesitant start when urinating, dribbling at the end of urination, and retention of urine. Or a urinary tract infection may develop, causing a frequent, urgent need to urinate and painful urination.

Abscesses are tender, painful, and swollen. The skin over the ducts appears red. Most women do not have a fever.

Diagnosis

  • A pelvic examination

  • Sometimes ultrasonography or cystoscopy

During a pelvic examination (see Gynecologic Examination), doctors can usually feel cysts or abscesses if they are large enough to cause symptoms. However, ultrasonography may be done or a flexible viewing tube to view the bladder (cystoscopy) may be used to confirm the diagnosis.

Treatment

  • Removal of the cyst

  • For abscesses, antibiotics, then removal of the cyst

If cysts cause symptoms, they are removed, usually in a doctor’s office or in an operating room. In the office, a local anesthetic is usually used.

For abscesses, antibiotics are given by mouth for 7 to 10 days. Then, the cyst is removed. Or doctors may make a small cut in the cyst and stitch the edges of the cyst to the surface of the vulva (marsupialization) so that it can drain.

* This is the Consumer Version. *