Skene's glands abscess an overlooked diagnosis in acute lower urinary symptoms

Stefania Tamburrini, MD; Carmine Vascone, MD; Valeria Marrone, MD; Marco Catalano, MD; Dario Del Biondo, MD; Luigi Gallo, MD; Pasquale Quassone, MD; Marina Lugarà, MD; Maria Gabriella Coppola, MD; Fiore De Simone, MD; Giorgio Napodano, MD

Radiology Case Reports (Dec 2021)

Skene's glands abscess an overlooked diagnosis in acute lower urinary symptoms

Stefania Tamburrini, MD,
Carmine Vascone, MD,
Valeria Marrone, MD,
Marco Catalano, MD,
Dario Del Biondo, MD,
Luigi Gallo, MD,
Pasquale Quassone, MD,
Marina Lugarà, MD,
Maria Gabriella Coppola, MD,
Fiore De Simone, MD,
Giorgio Napodano, MD

Affiliations

Stefania Tamburrini, MD: Department of Radiology, Ospedale del Mare-ASL NA1 Centro, Via Enrico Russo, 80147 Naples, Italy; Corresponding author.
Carmine Vascone, MD: Department of Obstretics and Gynecology, Ospedale del Mare-ASL NA1 Centro, Naples, Italy
Valeria Marrone, MD: Department of Radiology, Ospedale del Mare-ASL NA1 Centro, Via Enrico Russo, 80147 Naples, Italy
Marco Catalano, MD: Department of Radiology, Ospedale del Mare-ASL NA1 Centro, Via Enrico Russo, 80147 Naples, Italy
Dario Del Biondo, MD: Department of Urology, Ospedale del Mare-ASL NA1 Centro, Naples, Italy
Luigi Gallo, MD: Department of Radiology ''Università degli Studi della Campania Luigi Vanvitelli'', Naples, Italy
Pasquale Quassone, MD: Department of Radiology ''Università degli Studi della Campania Luigi Vanvitelli'', Naples, Italy
Marina Lugarà, MD: Department of Internal Medicine, Ospedale del Mare-ASL NA1 Centro, Naples, Italy
Maria Gabriella Coppola, MD: Department of Internal Medicine, Ospedale del Mare-ASL NA1 Centro, Naples, Italy
Fiore De Simone, MD: Department of Radiology, Ospedale del Mare-ASL NA1 Centro, Via Enrico Russo, 80147 Naples, Italy
Giorgio Napodano, MD: Department of Urology, Ospedale del Mare-ASL NA1 Centro, Naples, Italy

Journal volume & issue: Vol. 16, no. 12
pp. 3751 – 3756

Abstract

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Skenitis refers to the infection of the Skene's glands. Skene's glands are paraurethral glands localized on the upper wall of the vagina. The diagnosis of Skene's glands abscess or infection is usually made based on the history and physical examination, but half of women with para-urethral gland symptoms present with non-palpable lesions and necessitate further evaluation with imaging. Patients may present with chronic urethral pain, recurrent urinary tract infections, unexplained dyspareunia, and dysuria. At imaging Skene's glands are typically located on the anterior vaginal wall, at symphysis level and paramedian to urethra. Clinicians should consider Skenitis in the differential diagnosis of lower urinary tract symptoms. We report a case of a 48-year-old woman with acute lower urinary tract symptoms with a final diagnosis of Skene's glands abscess.

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: https://www.sciencedirect.com/journal/radiology-case-reports

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