CC BY 4.0 · Surg J (N Y) 2023; 09(02): e71-e74
DOI: 10.1055/s-0043-1768944
Case Report

Large Cyst of Skene Gland: A Rare Perineum Mass

Konstantinos Tzelepis
1   Department of Urology, General Hospital of Nicaea-Piraeus, Pireas, Greece
Konstantina Zacharouli
2   Department of Pathology, Faculty of Medicine, School of Health Sciences, University of Thessaly, Larissa, Greece
3   Laboratory of Histology and Embryology, Faculty of Medicine, School of Health Sciences, University of Thessaly, Larissa, Greece
Antonios Koutras
4   Department of Obstetrics and Gynecology, Alexandra Hospital, Kapodistrian University of Athens, Athens, Greece
Emmanuel N. Kontomanolis
5   Department of Obstetrics and Gynecology, Faculty of Medicine, School of Health Sciences, Democritus University of Thrace, Alexandroupolis, Greece
6   Department of Surgery, General Hospital of Volos, Volos, Greece
Efterpi Pavlidou
7   Department of Speech and Language Therapy, University of Ioannina, Ioannina, Greece
3   Laboratory of Histology and Embryology, Faculty of Medicine, School of Health Sciences, University of Thessaly, Larissa, Greece
› Author Affiliations
Funding The present study received no funding.


Objective In this report we present a rare case of a large cyst of Skene gland in a female patient with a palpable vaginal mass persisting for at least 2 years.

Case Report A 67-year-old female admitted to the department of urology due to the presence of “a vaginal mass” for the past 2 years. A cyst of Skene's duct was suspected based on clinical manifestation and findings of magnetic resonance imaging showing an extensive cyst formation in the upper vaginal area and anterior to the urethra. Based on these findings, a decision for surgical removement of the cyst was made. The cyst was incised, drained, and marsupialized. The postoperative recovery was uneventful, and the patient was discharged on the second postoperative day.

Conclusion High clinical suspicion is important to reach this rare diagnosis. Partial excision and marsupialization of the cyst is a simple procedure with low morbidity, without recurrence, and excellent results.

Patient's Informed Consent

The patient has signed an informed consent for publication.

Publication History

Received: 09 February 2023

Accepted: 12 April 2023

Article published online:
14 May 2023

© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (

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