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What Causes A Pimple Like Lesion At The External Urethral Orifice?

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Posted on Wed, 18 Jan 2017
Question: Thank you. my 95 year old mother says she has a small pimple like inside the entrance of her urethra frequently causing pain in her side when she urinates; but is not the typical bladder infection - no burning pain from urine. these symptoms have manifested itself about every 3-4 days with no indication when the pain will come back. Mother is in general good health, mentally alert, independent living, however, a heart patient with daily meds. She limits her activities with frequent rests. I'm searching online as to what this might be since her GP's office is closed until January 2, and unable obtain a Rx for blood work and urinalysis. If/when the pain returns to unacceptable level, I will take her to the ER or emergency clinic.
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Answered by Dr. Shoaib Khan (2 hours later)
Brief Answer:
?? XXXXXXX duct cyst most likely diagnosis

Detailed Answer:
Hello and welcome.

Thank you for writing to us.

I have gone through your query with diligence and would like you to know that I am here to help. The main question here is the exact location of the boil or pimple like presentation.

If the pimple like lesion lies closer to the urethra then the diagnosis could most probably be a XXXXXXX duct cyst. This in my opinion is the more likely diagnosis. XXXXXXX duct cysts usually require surgical drainage when they present with symptoms, but sometimes just the use of antibiotics suffices. As your mother is quite elderly I do not recommend putting her through a lot of pain.

Another very common condition called Bartholin's cyst also presents in a similar manner with a pimple like swelling around the entrance of the vagina, usually on one side.

For now please do start with warm water compresses over the region several times a day, and also warm water sitz bathes with epsom salt in it in order to promote healing and reducing the size of the cyst.

I hope you find my response both helpful and informative. Please feel free to write to me for any further clarifications, I am always here to help.

Best wishes.
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
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Dr. Shoaib Khan

General & Family Physician

Practicing since :2009

Answered : 9409 Questions

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What Causes A Pimple Like Lesion At The External Urethral Orifice?

Brief Answer: ?? XXXXXXX duct cyst most likely diagnosis Detailed Answer: Hello and welcome. Thank you for writing to us. I have gone through your query with diligence and would like you to know that I am here to help. The main question here is the exact location of the boil or pimple like presentation. If the pimple like lesion lies closer to the urethra then the diagnosis could most probably be a XXXXXXX duct cyst. This in my opinion is the more likely diagnosis. XXXXXXX duct cysts usually require surgical drainage when they present with symptoms, but sometimes just the use of antibiotics suffices. As your mother is quite elderly I do not recommend putting her through a lot of pain. Another very common condition called Bartholin's cyst also presents in a similar manner with a pimple like swelling around the entrance of the vagina, usually on one side. For now please do start with warm water compresses over the region several times a day, and also warm water sitz bathes with epsom salt in it in order to promote healing and reducing the size of the cyst. I hope you find my response both helpful and informative. Please feel free to write to me for any further clarifications, I am always here to help. Best wishes.