53060 Drainage of Skene's gland abscess or cyst

Name of the Procedure:

Drainage of Skene's Gland Abscess or Cyst
(Common name: Skene's gland drainage, Medical term: Skene's gland marsupialization)

Summary

This procedure involves draining an abscess or cyst from the Skene's glands, which are small glands located near the opening of the urethra in females. The procedure helps to relieve pain and discomfort caused by the infected gland.

Purpose

The procedure addresses the presence of an abscess or cyst in the Skene's glands. The primary goal is to relieve the symptoms of pain, swelling, and potential urinary obstruction, and to prevent recurrent infections.

Indications

• Persistent pain and swelling near the vaginal and urethral area
• Difficulty or pain during urination
• Recurrent urinary tract infections
• Abscess or cyst confirmed via physical examination or imaging

Preparation

• Fasting is generally not required.
• The patient might need to adjust certain medications as advised by the doctor.
• A genital examination and possibly an ultrasound may be conducted to confirm the abscess or cyst.

Procedure Description

1. The patient is positioned comfortably, typically in a lithotomy position.
2. Local anesthesia is applied to numb the area, ensuring minimal discomfort.
3. A small incision is made over the cyst or abscess.
4. The contents of the cyst or abscess are drained out.
5. In some cases, the gland may be marsupialized, which involves suturing the edges of the gland's opening to the skin to allow continuous drainage and prevent recurrence.
6. The area is cleaned and dressed.

Duration

The procedure usually takes about 30-45 minutes.

Setting

The procedure is generally performed in an outpatient clinic or a hospital setting.

Personnel

• Gynecologist or urologist
• Nursing staff
• Anesthesiologist (if sedation is used)

Risks and Complications

• Infection
• Bleeding
• Recurrence of the cyst or abscess
• Pain at the surgical site
• Scarring

Benefits

• Relief from pain and discomfort
• Resolution of urinary symptoms
• Prevention of recurrent infections
• Quick, minimally invasive procedure

Recovery

• Mild pain and discomfort at the incision site may be managed with over-the-counter pain relievers.
• The patient may need to keep the area clean and avoid sexual intercourse until healed.
• A follow-up appointment is typically scheduled to check on healing.

Alternatives

• Antibiotic therapy for initial management
• Watchful waiting if the cyst or abscess is not causing significant symptoms
• Surgical excision in more severe or recurrent cases

Patient Experience

• The patient may feel some pressure but should not feel significant pain during the procedure due to local anesthesia.
• Post-procedure pain is typically mild to moderate and can be managed with pain relief medications.
• Most patients experience significant symptom relief within a few days to a week.