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International Urogynecology Journal

, Volume 27, Issue 5, pp 817–820 | Cite as

Skene’s gland cyst excision

  • Jeannine Foster
  • Gary Lemack
  • Philippe ZimmernEmail author
IUJ Video

Abstract

Introduction and hypothesis

We review our experience with long-term outcome after Skene’s gland cyst excision.

Materials and methods

After receiving institutional review board approval, we reviewed a surgical database of all procedures performed by two surgeons at one institution for Skene’s gland cyst excision. Parameters evaluated include presenting symptoms, preoperative evaluation, excision site, perioperative complications, and clinical outcomes. The technique of surgical excision is presented in the accompanying video, and includes cystoscopy, dissection of cyst wall from the floor of the urethra, complete removal of the cyst wall, and primary vaginal-wall closure.

Results

From 2001 to 2013, ten women underwent Skene’s gland cyst excision. Mean follow-up was 3.5 years (range 3–96 months). Presenting symptoms were dyspareunia (4), urinary tract infections (4), vaginal mass (1), and voiding dysfunction (1). Five patients had more than one presenting symptom. To exclude urethral diverticulum, magnetic resonance imaging (MRI) was done in all patients and a voiding cystourethrogram in five. No perioperative complications were reported. A distal meatoplasty was done in two women. No recurrence occurred. Eight of ten women who were sexually active remained sexually active postoperatively.

Conclusions

Excision of Skene’s gland cyst is a safe procedure with acceptable long-term functional outcomes.

Keywords

Skene’s gland cyst Excision Outcome 

Notes

Compliance with Ethical standards

Conflicts of interest

None.

Consent

Written informed consent was obtained from the patient for publication of this video article and any accompanying images.

Supplementary material

ESM 1

(MP4 62149 kb)

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Copyright information

© The International Urogynecological Association 2015

Authors and Affiliations

  • Jeannine Foster
    • 1
  • Gary Lemack
    • 1
  • Philippe Zimmern
    • 1
    Email author
  1. 1.UT Southwestern Medical CenterDallasUSA

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