A 45-year-old woman presents with a tender, fluctuant mass in the anterior vaginal wall that expresses purulent urine on compression. The most likely diagnosis is:
- A Urethral diverticulum ✓
- B Gartner's duct cyst
- C Cystocele
- D Skene's gland abscess
Correct answer: A. Urethral diverticulum
Explanation
Urethral diverticulum presents as a tender anterior vaginal wall mass that may express urine or purulent material on compression, along with the classic triad of dysuria, dyspareunia, and post-void dribbling. Gartner's duct cyst is typically lateral and asymptomatic. Cystocele is a bladder prolapse, not a discrete fluctuant mass. Skene's gland abscess is periurethral but does not communicate with the urethra.
Reference: Williams Gynecology, 4th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
Written and medically reviewed by the StethoPrep medical team.