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Prepubertal Skene's abscess.

S Walker Nickles1, Judith T Burgis, Seema Menon

  • 1University of South Carolina, Columbia, South Carolina 29203, USA.

Journal of Pediatric and Adolescent Gynecology
|February 24, 2009
PubMed
Summary
This summary is machine-generated.

Skene gland abscesses are rare in young girls. This case study shows that incision and drainage effectively treat vulvar pain caused by Skene gland abscesses in premenarchal children.

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Area of Science:

  • Reproductive medicine
  • Pediatric gynecology

Background:

  • Skene's glands are homologous to the prostate gland, originating from the urogenital sinus.
  • Complications typically affect adults in their third and fourth decades; they are uncommon in premenarchal females.

Observation:

  • A 3-year-old girl presented with a 9-day history of vulvar pain.
  • Examination revealed an enlarged labium majus and erythema near the urethra.
  • An abscess of the Skene's gland was diagnosed under anesthesia.

Findings:

  • The Skene's gland abscess was treated with incision and drainage.
  • The patient experienced complete symptom resolution.

Implications:

  • Skene gland abscesses are rare in premenarchal girls.
  • Prompt diagnosis and surgical management, such as incision and drainage, can lead to successful outcomes for pediatric vulvar pain.
  • This case highlights the importance of considering Skene gland pathology in pediatric patients presenting with vulvar pain.