Skene’s Gland Cyst: Symptoms, Causes, Treatment

What are the symptoms of a Skene’s gland cyst?

A Skene’s gland cyst, which occurs in the Skene’s glands located near the female urethra, can present with various symptoms, though it may also be asymptomatic. Common symptoms include:

• Swelling or Lump: A noticeable lump or swelling near the vaginal opening or urethra.
• Discomfort or Pain: Mild to moderate discomfort or pain in the area.
• Tenderness: The affected area may be tender to touch.
• Urinary Symptoms: Some may experience urinary discomfort or a sensation of fullness in the urethral area.

In some cases, the cyst may cause no noticeable symptoms and may be found incidentally during a gynecological exam.

What are the causes of a Skene’s gland cyst?

A Skene’s gland cyst typically forms due to the obstruction of the ducts of the Skene’s glands. These glands, located near the female urethra, secrete fluids that help lubricate the urethra and are involved in maintaining urinary health. The causes of a Skene’s gland cyst include:

• Duct Obstruction: Blockage or narrowing of the ducts leading from the Skene’s glands, which can prevent the normal flow of secretions.
• Inflammation or Infection: Conditions such as chronic inflammation or infection can lead to duct blockage and cyst formation.
• Hormonal Changes: Hormonal fluctuations or imbalances may affect the glands and contribute to cyst development.
• Trauma or Injury: Physical trauma or injury to the area can sometimes result in cyst formation.

In some cases, the exact cause may not be clear, and the cyst might develop spontaneously.

What is the treatment for a Skene’s gland cyst?

Treatment for a Skene’s gland cyst generally depends on the severity of symptoms and the presence of any associated issues. Options include:

• Observation: If the cyst is small and not causing symptoms, it may simply be monitored over time without intervention.
• Warm Compresses: Applying warm compresses to the area can help reduce discomfort and encourage the cyst to drain naturally if it’s causing mild symptoms.
• Sitz Baths: Taking regular sitz baths can also provide relief and help manage symptoms.
• Antibiotics: If the cyst becomes infected, antibiotics may be prescribed to treat the infection.
• Drainage: For larger or symptomatic cysts, a healthcare provider may perform a procedure to drain the cyst. This is typically done in a clinical setting to avoid complications.
• Surgical Removal: In persistent or recurrent cases, surgical removal of the cyst may be necessary. This procedure is usually done under local anesthesia and involves removing the cyst through a small incision.

Most cases of Skene’s gland cysts can be managed effectively with these treatments, and they typically have a good prognosis.