Parameatal Urethral Cyst in a 20-Year-Old Male Patient: A Case Report

Abstract

The parameatal urethral cyst is a rare anomaly and appears as a small blister in proximity to the urethral meatus. These cysts may result from occlusion of paraurethral ducts or, in other cases, from faulty preputial separation from the glans along the coronal sulcus. A 20-year-old male patient came to our outpatient clinic at dr. M. Soewandhie General Hospital Surabaya with a cystic lesion on the right side of the external urethral meatus. The patient only found out about his situation one year ago, and he did not experience any complaints except a branched urination. On physical examination, an 8 mm cystic lesion was found on the right side of the external urethral meatus. The patient consented to complete surgical excision of the cyst. The procedure was performed under regional anesthesia. The cyst was completely resected from the surrounding tissues. One month after surgery, there is no post-operative pain and good urine flow, and the patient is also satisfied with the post-operative condition. Histologic examination shows pieces of tissue in the form of polypoid lined with squamous epithelium underneath, stroma of fibrous tissue with proliferation of blood vessels and some inflammatory cells of lymphocytes in between. There are no signs of malignancy. Parameatal urethral cyst is an abnormal and rare case, usually asymptomatic. However, sometimes dysuria, urinary retention, branching urine, and cosmetic problems are the reasons that cause patients to seek a doctor's help. It can be diagnosed just on physical examination and can be cured by complete excision.