Skene’s gland abscess: a rare case report

Abstract

Background: The Para urethral gland of Skene is a pair of glands in the vestibule on the distal two-thirds of the female urethra, they are homologous to the male prostate gland and are believed to secrete fluid that lubricates the urethral opening. They contain about 6 to 30 small glands. The grand’s duct can get infected and hence inflamed obstruct. The secretion may accumulate leading an abscess formation. The patients may develop fever, dysuria, or dyspareunia. On examination, there may be a visible palpable Para urethral mass which may be unilateral or bilateral, it may also be tender. The incidence of Skene’s gland abscess is unknown, it is common in premenopausal women usually in the third and fourth decades of life. Trans trans-perineal ultrasound scan is very useful in the diagnosis but MRI is the gold standard. An important differential diagnosis is urethral diverticulitis which can be distinguished using these imaging modalities.

Case report: We present a 30 years old nulliparous single lady who had a 2-year history of vaginal swelling and superficial dyspareunia we made a final diagnosis of palpable skene’s gland abscess, which was treated by marsupialization.