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Updated: Jan 13, 2026

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Pseudocistos de esmegma clitoriano infectados

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
PubMed
Resumen

Los pseudocistos de esmegma pueden causar dolor clitoriano y disfunción sexual. Este estudio de caso muestra que el manejo conservador y no quirúrgico, incluida la expresión y los antibióticos, trató eficazmente una masa clitoriana dolorosa.

Palabras clave:
Salud sexualTrastornos vulvovaginales

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Área de la Ciencia:

  • Ginecología; Urología

Sus antecedentes:

  • Los pseudocistos de esmegma son una causa conocida de dolor clitoriano y dispareunia. Su presentación como una masa clitoriana grande y dolorosa y su manejo no quirúrgico no están bien documentados.

Objetivo del estudio:

  • Describir la presentación y el manejo no quirúrgico de un pseudocisto de esmegma que causa dolor clitoriano significativo y disfunción sexual.

Principales métodos:

  • Informe de caso de una paciente de 40 años que presenta una masa clitoriana de 2 cm, dolor, disuria y dispareunia. El examen físico reveló un pseudocisto de esmegma, que se expresó. El cultivo de esmegma fue positivo para Pseudomonas aeruginosa, tratado con levofloxacino.

Principales resultados:

  • La masa clitoriana de la paciente se expresó con éxito y el dolor se resolvió después de un ciclo de 7 días de levofloxacino. La paciente recibió asesoramiento sobre higiene y estrógeno tópico para la prevención.

Conclusiones:

  • Los pseudocistos de esmegma infectados pueden tratarse de forma conservadora con expresión y antibióticos. El manejo conservador reduce la necesidad de intervención quirúrgica. Un examen físico exhaustivo es crucial para diagnosticar los pseudocistos de esmegma.