Abstract
IntroductionA parameatal urethral cyst is a rare finding in an otherwise well child. They can present as either congenital malformations or as a finding later in life, and may occur either unilaterally or bilaterally on the glans penis. Though they are benign, possible complications include impaired urinary stream flow, dysuria, or hindered cosmesis. Presentation of caseWe report a spontaneous resolution of large congenital parameatal cyst in an otherwise healthy neonate whose mother had a recent history of urinary tract infection. A spontaneous resolution of the cyst was reported at the age of one month. DiscussionA small parameatal cysts have shown spontaneous resolution approximately 25% of the time. Treatment options should not include aspiration or marsupialization as many cases have shown recurrence. The role of antenatal infection in development of parameatal cyst not yet been determined. ConclusionA large parameatal cyst could resolve spontaneously, routine observation recommended for majority of cases.
Highlights
A parameatal urethral cyst is a rare finding in an otherwise well child
A congenital urethral parameatal cyst can be concerning to parents due to both their infrequent occurrence and distressing appearance
We present a case of spontaneous resolution of large congenital parameatal cyst in an otherwise healthy neonate whose mother had a recent history of urinary tract infection
Summary
A parameatal urethral cyst is a rare finding in an otherwise well child. They can present as either congenital malformations or as a finding later in life, and may occur either unilaterally or bilaterally on the glans penis. Though they are benign, possible complications include impaired urinary stream flow, dysuria, or hindered cosmesis. PRESENTATION OF CASE: We report a spontaneous resolution of large congenital parameatal cyst in an otherwise healthy neonate whose mother had a recent history of urinary tract infection. DISCUSSION: A small parameatal cysts have shown spontaneous resolution approximately 25% of the time. CONCLUSION: A large parameatal cyst could resolve spontaneously, routine observation recommended for majority of cases
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