Female prostatic occlusive syndrome: A case report of MRI analysis and literature review.
Level 4 - case-series / case-control
Single patient case report and narrative literature review
PubMed 41403963 · doi:10.1016/j.radcr.2025.11.008
What was done
A case report describing an 87-year-old woman presenting with straining during urination and intermittent stream, evaluated by pelvic multiparametric MRI to characterize female prostatic occlusive syndrome (FPOS), accompanied by a literature review.
What was found
Pelvic MRI identified urethral lumen narrowing caused by a 1.4 cm periurethral lesion featuring a T2-hyperintense core with a hypointense rim. The lesion demonstrated restricted diffusion with an apparent diffusion coefficient (ADC) of 1.1 × 10⁻³ mm²/s. No urinary tract calculi or other abnormalities were identified.
Why it matters
Highlights multiparametric MRI features that may aid in distinguishing rare obstructive Skene's gland pathology from common conditions like urethral diverticula or cystitis, potentially reducing misdiagnosis.
Limits
Single case report (n = 1), precluding diagnostic accuracy or generalizability estimates. Histopathologic confirmation, treatment details, and patient follow-up were not described in the abstract.
Cited by
- supports Skene's glands are the embryological and anatomical homologue of the male prostate.