{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T19:40:53Z","timestamp":1767987653452,"version":"3.49.0"},"reference-count":24,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2025,12,12]]},"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:p>\n                    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\u2019s 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\n                    <jats:italic>Pseudomonas aeruginosa<\/jats:italic>\n                    . 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.\n                  <\/jats:p>","DOI":"10.1136\/bcr-2025-267856","type":"journal-article","created":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T14:35:19Z","timestamp":1767969319000},"page":"e267856","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Infected clitoral smegmatic pseudocysts"],"prefix":"10.1136","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6290-2531","authenticated-orcid":false,"suffix":"M.D.","given":"Aileen","family":"Abankwa","sequence":"first","affiliation":[{"name":"Urology and Obstetrics and Gynecology, New York Presbyterian-Weill Cornell Medicine, New York, New York, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"suffix":"M.D.","given":"Natalie","family":"Squires","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynecology, New York Presbyterian-Weill Cornell Medicine, New York, New York, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"suffix":"M.D.","given":"Amanda","family":"Leung","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynecology, New York Presbyterian-Weill Cornell Medicine, New York, New York, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"suffix":"M.D.","given":"Katherine","family":"Husk","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynecology, New York Presbyterian-Weill Cornell Medicine, New York, New York, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2026,1,9]]},"reference":[{"key":"2026010906350970000_19.1.e267856.1","unstructured":"Anderson DJ , et al . Male and female external genitalia. In: Berek JS , ed. Berek & Novak\u2019s gynecology. 15th edn. 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