Congenital parameatal cyst: A case report

Folio Medica Indonesiana, 2020

Parameatal urethral cyst is a scarce congenital condition that was first reported in two males in 1956, until now in reported literature only found less than 50 cases, in both adults and children. Our patient, case of parameatal urethral cyst in a 5 years old boy is reported. Complete excision with total removal of the epithelium of the cyst is required management for the treatment and prevention of cyst reocurrance. A 5 years old male with a cystic lesion around urethral meatus since birth. At least 5 month the parents complain distorted urinary flow and poor appearance, and no other urinary symptom, no history of trauma. On physical examination, cystic mass with spherical shape which was about 0.5 cm in diameter was found around external meatus. There was no inflammatory sign. And there was normal blood laboratory (blood counts and blood chemistry) and urine laboratory (urine analysis and urine culture). The patient undergo completely excision of the cyst under general anaesthesia, and remove all of the lining epithelium. Good appearance results were obtained after 2 months follow up, without meatal strictures and urine stream problems, and no postoperative complications or recurrence. Pathological : Squamous epithelial, granulation tissue with chronic inflamation. Parameatal urethral cyst is a very rare benign condition that is asymptomatic in most of the cases. It may be present since birth or appear later and is prevalent in young males. Its etiology remains unclear and treatment is by complete surgical excision to avoid complications and recurrence. Good cosmetic results were obtained in this case without any recurrence at two months follow up.

https://www.ijhsr.org/IJHSR_Vol.13_Issue.9_Sep2023/IJHSR-Abstract13.html, 2023

A parameatal cyst is a rare congenital anomaly. It is a benign lesion which is usually seen in young boys. Poor cosmesis is a major concern for consultation since it is asymptomatic in most of the cases. Nearly around 50 cases have been published in the literature and most of them reported from Japanese population. Only few cases have been reported from India. Treatment by surgical excision may be offered in symptomatic patients and for better cosmesis in older children and adults.

Journal of Urological Surgery

On yedi yaşında erkek hasta üretral meatusta 15 mm şişlik ile başvurdu. Değerlendirmede hasta işeme ile ilgili şikayet bildirmedi. Hasta kozmetik amaçlı tedavi arayışındaydı. Genç erkeklerde oldukça nadir görülen parameatal üretral kist benign bir durum olup literatürde olgu sayısı oldukça azdır. Kiste literatür önerisine uygun şekilde tam eksizyon uygulandı. Postoperatif takibinde hastanın hiçbir problemi olmadı. Anahtar Kelimeler: Olgu, kist, üretral meatus A 17-year-old boy presented with 15 mm swelling on the left side of his urethral meatus. He did not report any voiding symptoms. He was seeking medical treatment due to cosmetic concerns. Parameatal urethral cysts are benign conditions that are rarely reported in the literature. We performed complete excision of the cyst as previously suggested by some authors. On postoperative follow-up, there were no findings of voiding difficulty and cosmetic problem.

Journal of Pediatric and Adolescent Gynecology, 2019

Paraurethral cyst is a rare cause of interlabial mass in neonates with an incidence of 1 in every 2000-7000 live births and represents < 0.5% of congenital malformations of the urinary tract. Case: We report the case of a paraurethral cyst in a neonate, which regressed spontaneously during follow-up without complications. Summary and conclusion: Paraurethral cyst should be considered in the differential diagnosis of interlabial masses in newborns. Given the high probability of spontaneous regression, expectant management appears to represent the management of choice.

International Journal of Contemporary Pediatrics, 2017

Para-urethral cyst, arising from cystic dilatation of a paraurethral gland in a female, is rarely reported in neonatal age group. The low frequency and little awareness about its clinical course may lead to inappropriate management. The choice of treatment for this lesion still remains controversial. Surgical excision has been advocated, but non-operative treatment is also gaining popularity nowadays. We are hereby reporting a symptomatic female neonate, whose paraurethral cyst was managed surgically with good recovery. The purpose of this report is to clarify the natural course of paraurethral cysts in female neonates and to generate awareness among physicians and surgeons for correct diagnosis and proper management. The embryology, clinical features and various treatment options are discussed along with the management of our case.

The Malaysian journal of medical sciences : MJMS, 2015

Cyst formation in the parameatal area is a relatively rare entity and not many cases have been reported in the literature. Two such cases are reported here. First patient was a 46 year old sexually active male who developed a spherical, cystic swelling of 1 cm in size on right lip of external urethral meatus. The second case was a 4 year old boy who presented with asymptomatic recurrent left parameatal swelling. In both the cases, cysts were completely excised and defects were sutured. Histologically, the cyst walls were lined by tall squamous and columnar epithelium. Good cosmetic results were obtained in these two cases without any recurrence at 2 two months follow up.

Journal of Pediatric Urology, 2013

Paraurethral cysts arising from Skene's gland are a rare cause of urogenital masses in the neonate. We report the case of a pelvic mass noted at the vaginal introitus on prenatal ultrasound that following delivery was found to be a paraurethral cyst. On prenatal ultrasound, there was no evidence of involvement of the urinary, gastrointestinal, or upper genital tract. Serial ultrasounds demonstrated slight enlargement of the cyst without other changes. The patient delivered at 33 weeks and postnatal evaluation demonstrated a paraurethral cyst. The cyst was managed expectantly and drained spontaneously on the second day of life with complete resolution.

Central European Journal of Medicine, 2008

Paraurethral or Skene's duct cyst is a rare cause of masses located in the inter-labial genitor-urinary region and their etiology is not fully known. These congenital cysts may be diagnosed easily by inspection in the initial physical examination of the new-borne. Radiological evaluation is helpful for differential diagnosis and in determining the proximal extension of the cystic pathology. Treatment alternatives are needle aspiration and non-surgical follow-ups leading to a spontaneous regression and surgery. In this report the radiological findings of a female newborn diagnosed with paraurethral cyst in US and MR examinations have been discussed. © Versita Sp. z o.o.

Pediatric Urology Case Reports

Paraurethral cysts or Skene's duct cysts are a rare cause of inter labial mass in a neonate. The precise etiology of paraurethral cyst is unknown. A thorough urologic evaluation was required to differentiate it from an ectopic ureterocele, urethrocele, urethral diverticula, and benign or malignant urethral and paraurethral tumors. A day 7 female baby was brought to us with history of asymptomatic introital mass noticed at day 4 of life. It was displacing urethra supero-laterally to the left and the vagina inferiorly with normal cystogenitoscopy. Simple excision of cyst was done uneventfully. Though asymptomatic, because of cosmetic and parental anxiety, and for a definitive diagnosis, simple excision of cyst was done uneventfully without recurrence.

Urology, 1976

Paraurethral cysts in the female neonate are uncommon lesions. All reported cases have either ruptured spontaneously or responded to simple marsupialization. However, complete urologic evaluation is mandatory because they simulate ectopic ureteroceles in appearance. Herein is reported our experience with 5 patients. The etiology, embryogenesis, natural history, differential diagnosis, and treatment are discussed.