SKENE’S GLAND CYST IN AN ADULT: A RARE CASE WITH SUCCESSFUL MANAGEMENT

Abstract

Background: Skene's gland cyst is a rare condition in women. It may be asymptomatic, but in many cases, it can cause urinary disturbances or discomfort during sexual intercourse. The Skene's glands are the female homolog of the male prostate. The treatment of Skene's gland cysts remains controversial.

Case presentation: We report a case of a 40-year-old female patient who presented with dysuria and a history of recurrent urinary tract infections, accompanied by discomfort during intercourse. Clinical examination revealed a 2 cm cystic mass adjacent to the left side of the external urethral meatus, which was non-tender and non-draining. Additionally, a protruding mass in the vulvar–perineal region was noted, suggestive of posterior vaginal wall prolapse. MRI findings were consistent with a Skene’s gland cyst. The patient underwent marsupialization of the cyst in combination with posterior vaginal wall repair. The surgery was uneventful, and no postoperative complications were recorded.

Conclusion: This condition, in addition to its rarity, often presents non-specific urological and gynecological symptoms. Therefore, it is essential to consider differential diagnoses alongside clinical assessment. MRI imaging plays a crucial role in supporting diagnosis, while definitive diagnosis relies on histopathological confirmation. The surgical marsupialization of the Skene’s gland cyst is an effective and safe treatment method in a short term.

Keywords: Skene’s gland cyst; surgical marsupialization; urinary disturbances