Skene gland adenitis - Anogenital in
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Synopsis
Abscesses tend to be rare and usually occur in premenopausal women.
These infections tend to be polymicrobial in nature. Risk factors include poor vulvar hygiene, diabetes, pregnancy, and obesity.
While Skene gland cysts are usually asymptomatic, adenitis and abscesses can cause pain, dysuria, dyspareunia, and urinary retention. Patients will often complain of a feeling of a mass being present, of pain, or of issues with urination including recurrent urinary tract infections or pain with voiding.
Codes
ICD10CM:N34.2 – Other urethritis
SNOMEDCT:
59020000 – Skene's gland adenitis
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Diagnostic Pearls
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Differential Diagnosis & Pitfalls
- Urethral caruncle – Skene abscesses are more common premenopausally, and urethral caruncles are more common postmenopausally.
- Vulvar inclusion cysts
- Vulvar abscess
- Urethral diverticulum
- Bartholin gland cyst / abscess
- Urethrocele
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Management Pearls
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Therapy
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References
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Last Reviewed:10/21/2018
Last Updated:10/23/2018
Last Updated:10/23/2018