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Related Experiment Video

Updated: Jan 13, 2026

Microscopic Cyst Resection for the Treatment of Patients Diagnosed with Epididymal Cyst

Microscopic Cyst Resection for the Treatment of Patients Diagnosed with Epididymal Cyst

Published on: March 31, 2023

Infected clitoral smegmatic pseudocysts.

Aileen Abankwa¹, Natalie Squires², Amanda Leung²

¹Urology and Obstetrics and Gynecology, New York Presbyterian-Weill Cornell Medicine, New York, New York, USA aileen.baffo@gmail.com.

BMJ Case Reports

|January 9, 2026

Summary

Smegmatic pseudocysts can cause clitoral pain and sexual dysfunction. This case study shows conservative, non-surgical management, including expression and antibiotics, effectively treated a painful clitoral mass.

Keywords:

Sexual health Vulvovaginal disorders

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Area of Science:

Gynecology
Urology

Background:

Smegmatic pseudocysts are a known cause of clitoral pain and dyspareunia.
Their presentation as a large, painful clitoral mass and non-surgical management are not well-documented.

Purpose of the Study:

To describe the presentation and non-surgical management of a smegmatic pseudocyst causing significant clitoral pain and sexual dysfunction.

Main Methods:

A case report of a patient in her 40s presenting with a 2-cm clitoral mass, pain, dysuria, and dyspareunia.
Physical examination revealed a smegmatic pseudocyst, which was expressed.
Smegma culture was positive for Pseudomonas aeruginosa, treated with levofloxacin.

Main Results:

The patient's clitoral mass was successfully expressed, and pain resolved after a 7-day course of levofloxacin.
The patient received counseling on hygiene and topical estrogen for prevention.

Conclusions:

Infected smegmatic pseudocysts can be safely managed conservatively with expression and antibiotics.
Conservative management reduces the need for surgical intervention.
A thorough physical examination is crucial for diagnosing smegmatic pseudocysts.