title: Surgical management of Skene's gland abscess/infection: a contemporary series.
abstract: OBJECTIVE
  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.
  
  
  CONCLUSIONS
  Surgical excision is a safe and effective therapy for the treatment of Skene's gland abscess/infection after conservative measures have failed.
authors: Department of Urology, New York University Langone Medical Center, 150 E 32nd St, New York, NY 10016, USA. uroshah@gmail.com
authors: Sagar R
authors: SR
authors: Shah
authors: Grace Y
authors: GY
authors: Biggs
authors: Nirit
authors: N
authors: Rosenblum
authors: Victor W
authors: VW
authors: Nitti
mesh_terms: D000038:Abscess / Q000188:drug therapy / Q000382:microbiology / Q000601:surgery*; D000328:Adult; D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002511:Cephalosporins / Q000627:therapeutic use; D004322:Drainage; D016983:Enterococcus; D004927:Escherichia coli Infections / Q000188:drug therapy / Q000601:surgery; D005088:Exocrine Glands / Q000382:microbiology / Q000601:surgery; D005260:Female; D006801:Humans; D007778:Lactobacillus; D008875:Middle Aged; D015363:Quinolones / Q000627:therapeutic use; D012008:Recurrence; D012189:Retrospective Studies; D013203:Staphylococcal Infections / Q000188:drug therapy / Q000601:surgery; D013290:Streptococcal Infections / Q000188:drug therapy / Q000601:surgery; D017211:Treatment Failure; D014522:Urethral Diseases / Q000382:microbiology / Q000601:surgery*; D014552:Urinary Tract Infections / Q000188:drug therapy / Q000382:microbiology / Q000601:surgery*; D057832:Watchful Waiting; D055815:Young Adult
chemical_list: D000900:Anti-Bacterial Agents; D002511:Cephalosporins; D015363:Quinolones