Skenitis is an infection of the Skene’s glands, which are small glands located on either side of the female urethral opening. If you’re wondering what is skenitis, it refers to a condition in which these glands become inflamed, most often due to a bacterial infection. It is crucial to know about the Skenitis, a cause, its symptoms, as well as the treatments.
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What is skenitis?
Skenitis is an infection of the glands, most commonly caused by gonorrhea and UTIs. It can cause symptoms like chronic urethral pain, dyspareunia, and cysts. The Skene’s glands help produce lubricating fluid and support urogenital health. But bacteria associated with urinary tract infections or sexually transmitted infections can trigger inflammation.
What are the causes of skenitis?
Skene’s glands are two small, paired glands next to the urethra (the tube-like organ that removes pee). It is the place where sperm are allowed to enter the body. They secrete a mucus-like fluid during sexual activity and help with lubrication.
During an infection, the Skene’s glands can become inflamed and develop cysts. Infected Skene’s gland ducts can block the urethra and cause urinary symptoms.
It is important to inform your doctor if you have symptoms of a Skene’s gland cyst. These symptoms are often similar to those of a urinary tract infection. However, a standard urine test cannot detect bacteria originating from the Skene’s glands.
A diagnosis is usually made based on history and physical examination. About half of patients with paraurethral gland symptoms have non-palpable lesions and require imaging for further evaluation. A diagnosis is confirmed by clinically evaluating the anterior vaginal wall, symphysis area, and paraurethral region. It can be detected by palpation for nodules or masses, as well as through ultrasound. Ultrasound can identify a paraurethral fluid mass as a hyperintense lesion near the urethra and assess its cystic nature. This is typically centered on the upper wall of the vagina.
What are the symptoms of skenitis
Skenitis can cause a range of urinary and genital symptoms due to inflammation of the Skene’s glands. These symptoms often overlap with urinary tract infections, which can make the condition difficult to recognize without proper evaluation.
Common symptoms are:
- Painful or burning urination
- Frequent urge to urinate
- Cloudy or foul-smelling urine
- Localized pain or tenderness near the urethra
- Swelling or a lump near the urethral opening
- Pain during sexual activity
- Urinary dribbling or incomplete emptying sensation
What are the treatments?
Skenitis is a form of infection in the paraurethral glands that can affect women and also men. The condition is often confused with urinary tract infections (UTIs). It can lead to the formation of cysts or abscesses that obstruct the gland or the urethra. The condition is usually caused by gonorrhea, other sexually transmitted bacteria, E. coli, or vaginal flora.
The Skene’s glands are so close to the urethral opening. Bacteria can easily spread from one gland to another. This is why it’s important to tell your doctor about any problems with urination or pain during sexual intercourse.
If left untreated, it can lead to the development of rare cancers called urethral adenosquamous carcinoma. This can cause symptoms such as hematuria and a mass in the area of the urethral opening that can be difficult to treat.
Treatment and evaluation may include:
- Antibiotic therapy to treat the infection
- Blood tests to check for related inflammation or other conditions
- Review of past gynecological history and infections
- Physical examination of the affected area
- Imaging tests to assess gland location, cysts, or drainage issues
Conclusion
Skenitis is an uncommon but important infection of the Skene’s glands that can mimic urinary tract conditions. Early recognition, accurate diagnosis, and timely treatment are key to preventing complications such as cysts or abscesses. Awareness of symptoms and medical evaluation help ensure effective management and better urogenital health.
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FAQs
1. Is skenitis the same as a UTI?
No. It affects the Skene’s glands, while a UTI affects the urinary tract, though symptoms can be similar.
2. What causes skenitis most commonly?
It is most often caused by gonorrhea, other sexually transmitted bacteria, E. coli, or vaginal flora.
3. Can skenitis go away on its own?
Mild cases may improve, but most infections require antibiotics to fully resolve and prevent complications.
4. How is skenitis diagnosed?
Diagnosis is based on symptoms, physical examination, and sometimes imaging, such as an ultrasound.
5. What happens if skenitis is left untreated?
Untreated skenitis can lead to cysts, abscess formation, or rare but serious complications involving the urethra.

