A 40-year-old woman presents with a tender anterior vaginal wall mass, dyspareunia, and intermittent expression of purulent discharge from the urethra on palpation. The most likely diagnosis is:

• A Gartner's duct cyst
• B Skene's gland abscess
• C Cystocele
• D Urethral diverticulum ✓

Explanation

The classic triad of urethral diverticulum is the '3 Ds': dysuria, dyspareunia, and dribbling (post-void dribbling). A tender anterior vaginal wall mass that expresses purulent urethral discharge is pathognomonic. MRI or voiding cystourethrogram confirms the diagnosis. Gartner's duct cysts are lateral and usually asymptomatic. Skene's gland abscess is distal and periurethral, not a discrete diverticulum.

Reference: Williams Gynecology, 4th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.