{
  "abstract": "Smegmatic pseudocysts are a source of clitoral pain and dyspareunia, contributing to sexual dysfunction. Its presentation as a large, painful clitoral mass and its non-surgical management have not been described. A patient in her 40’s presented with clitoral pain, dysuria, dyspareunia, and a 2-cm clitoral mass. On examination, the mass was found to be a smegmatic pseudocyst collection and was expressed safely. The smegma also returned positive for Pseudomonas aeruginosa. She completed a 7-day course of levofloxacin, and at subsequent follow-ups, her pain resolved. For prevention, she was counseled on appropriate hygiene and topical estrogen use. With this presentation, a thorough physical examination is warranted to rule out smegmatic pseudocysts. Once superinfection has been confirmed, treatment with the appropriate antibiotics can help with symptomatic relief. Additionally, in-office expression can be considered for immediate pain relief. Infected smegmatic pseudocysts can be safely managed conservatively, reducing unnecessary surgical procedures for removal.",
  "authors": [
    {
      "affiliations": [
        "Urology and Obstetrics and Gynecology, New York Presbyterian-Weill Cornell Medicine, New York, New York, USA"
      ],
      "name": "Aileen Abankwa, M.D."
    },
    {
      "affiliations": [
        "Obstetrics and Gynecology, New York Presbyterian-Weill Cornell Medicine, New York, New York, USA"
      ],
      "name": "Natalie Squires, M.D."
    },
    {
      "affiliations": [
        "Obstetrics and Gynecology, New York Presbyterian-Weill Cornell Medicine, New York, New York, USA"
      ],
      "name": "Amanda Leung, M.D."
    },
    {
      "affiliations": [
        "Obstetrics and Gynecology, New York Presbyterian-Weill Cornell Medicine, New York, New York, USA"
      ],
      "name": "Katherine Husk, M.D."
    }
  ],
  "title": "Infected clitoral smegmatic pseudocysts",
  "uid": "e0a8ea8a-b449-5281-a1a2-12880f979ba9"
}