Surgical management of Skene's gland abscess/infection: a contemporary series.
Summary of "Surgical management of Skene's gland abscess/infection: a contemporary series."
INTRODUCTION AND
HYPOTHESIS:
We report our experience with surgical excision for treatment of Skene's gland abscess/infection after conservative measures have failed.
METHODS:
A retrospective review of patients that underwent surgical excision of Skene's gland abscess/infection by a single surgeon from 06/1995 to 09/2008 was performed. Patients were separated into groups based on indication for procedure. Recurrence rate and success rate were calculated.
RESULTS:
The final study group included 34 patients. After initial excision, 88.2% (30/34) of patients had resolution of symptoms. Recurrence of signs and symptoms that prompted further treatment occurred in 30% (9/30). In those that recurred, 88.8% (8/9) of patients had resolution of symptoms after further therapy. Overall success rate in complete resolution of symptoms after all treatment was 85.3%. Only patients to fail were in the urethral pain and recurrent UTI groups.
CONCLUSION:
Surgical excision is a safe and effective therapy for the treatment of Skene's gland abscess/infection after conservative measures have failed.
Affiliation
Department of Urology, New York University Langone Medical Center, 150 E 32nd St, New York, NY, 10016, USA, uroshah@gmail.com.
Journal Details
This article was published in the following journal.
Name: International urogynecology journal and pelvic floor dysfunction
ISSN: 1433-3023
Pages:
Links
- PubMed Source: http://www.ncbi.nlm.nih.gov/pubmed/21732101
- DOI: http://dx.doi.org/10.1007/s00192-011-1488-y
Medical and Biotech [MESH] Definitions
Psoas Abscess
Abscess of the PSOAS MUSCLES resulting usually from disease of the lumbar vertebrae, with the pus descending into the muscle sheath. The infection is most commonly tuberculous or staphylococcal.
Surgical Wound Infection
Infection occurring at the site of a surgical incision.
Entamoebiasis
Infection with amoebae of the genus ENTAMOEBA. Infection with E. histolytica causes DYSENTERY, AMEBIC and LIVER ABSCESS, AMEBIC.
Psoas Muscles
A powerful flexor of the thigh at the hip joint (psoas major) and a weak flexor of the trunk and lumbar spinal column (psoas minor). Psoas is derived from the Greek "psoa", the plural meaning "muscles of the loin". It is a common site of infection manifesting as abscess (PSOAS ABSCESS). The psoas muscles and their fibers are also used frequently in experiments in muscle physiology.
Periapical Abscess
Acute or chronic inflammation of tissues surrounding the apical portion of a tooth, associated with the collection of pus, resulting from infection following pulp infection through a carious lesion or as a result of an injury causing pulp necrosis. (Dorland, 27th ed)
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