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Skene's duct cyst: lined by stratified squamous epithelium, the cyst is caused by obstruction of the Skene's glands. It is located lateral to the urinary meatus. Magnetic resonance imaging (MRI) is used for diagnosis. [13] The cyst is treated by surgical excision or marsupialization.
Pseudocysts are like cysts, but lack epithelial or endothelial cells. Initial management consists of general supportive care. Symptoms and complications caused by pseudocysts require surgery. Computed tomography (CT) scans are used for initial imaging of cysts, and endoscopic ultrasounds are used in differentiating between cysts and pseudocysts.
Some physicians believe that urethral syndrome may be due to a low grade infection of the Skene's glands on the sides and bottom of the urethra. [citation needed] The Skene's glands are embryologically related to the prostate gland in the male, thus urethral syndrome may share a comparable cause with chronic prostatitis. [citation needed]
The pelvic exam begins with a discussion as described above, and an explanation of the procedure. The patient is asked to put on an examination gown, get on the examination table, and lie on her back with her feet in footrests. [3] Sliding down toward the end of the table is the best position for the clinician to do a visual examination. [18]
Many cysts remain small, are followed closely by a clinician, and resolve on their own. [8] Surgery and/or drainage is performed to remove the cyst. [10] Treatment continues after the surgical removal by scheduled followups with the medical provider who looks for changes in the cyst. [8] Bartholin gland cysts often need to be drained.
The cyst can also become infected and form an abscess, or a painful, puss-filled pocket. Once branchial cysts begin growing, doctors will advise immediate removal to prevent further infection.
Adenocarcinoma of the gland is rare and benign tumors and hyperplasia are even more rare. [18] Bartholin gland carcinoma [19] is a rare malignancy that occurs in 1% of vulvar cancers. This may be due to the presence of three different types of epithelial tissue. [8] Inflammation of the Skene's glands and Bartholin glands may appear similar to ...
Diagnosis is often based on symptoms and examination. [1] If the cystocele causes few symptoms, avoiding heavy lifting or straining may be all that is recommended. [1] In those with more significant symptoms a vaginal pessary, pelvic muscle exercises, or surgery may be recommended. [1] The type of surgery typically done is known as a ...