Operational Obstetrics & Gynecology |
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Skene's Gland |
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A Skene's gland is on each side of the urethral opening. It is normally neither seen nor felt, although close inspection will reveal the pinpoint openings of these periurethral glands. When infected, the Skene's gland will become enlarged and tender. A simple incision and drainage of the gland will generally result in complete resolution. Topical anesthetic (20% benzocaine, or "Hurricaine") can be applied to the cyst with a cotton-tipped applicator and allowed to sit for 3-4 minutes. A single stab wound by a scalpel opens the abscess and allows for drainage of the pus. Cultures, particularly for gonorrhea, should be obtained. While in a civilian setting, antibiotics would be optional (pending culture results), they are very helpful in an operational settings. Good choices for antibiotics would include those most helpful for treating urethritis:
Note to readers from
the Brookside Associates: Contents - Introduction - Medical Support of Women in Field
Environments - The Prisoner of War
Experience - Routine
Care - Pap Smears - Human Papilloma Virus - Contraception - Birth Control Pills - Vulvar Disease - Vaginal Discharge - Abnormal Bleeding - Menstrual Problems - Abdominal Pain - Urination Problems - Menopause - Breast Problems - Sexual Assault - Normal Pregnancy - Abnormal Pregnancy - Normal Labor and Delivery - Problems During Labor and Delivery - Care of the Newborn Bureau of Medicine
and Surgery Operational
Obstetrics & Gynecology - 2nd Edition This
web version of Operational Obstetrics & Gynecology is provided by
The Brookside Associates. It contains original contents from the
official US Navy NAVMEDPUB 6300-2C, but has been reformatted for web access and
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material in this version is unclassified. This formatting C. 2006
Brookside Associates, LLC. |