LETTERS TO THE EDITOR
|Year : 2022 | Volume
| Issue : 4 | Page : 511
Parameatal urethral cyst in children
Gyanendra Chaudhary, Rajat Sharma, Enono Yhoshu, Balija Satya Sree
Department of Pediatric Surgery, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India
|Date of Submission||16-Sep-2021|
|Date of Decision||07-Dec-2021|
|Date of Acceptance||08-Jan-2022|
|Date of Web Publication||26-Jul-2022|
6th Floor A Block, Department of Pediatric Surgery, All India Institute of Medical Sciences, Veerbhadra Road, Rishikesh - 249 203, Uttarakhand
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Chaudhary G, Sharma R, Yhoshu E, Sree BS. Parameatal urethral cyst in children. J Indian Assoc Pediatr Surg 2022;27:511
Parameatal urethral cysts are a benign and uncommon occurrence in children. They maybe present from birth or develop with time in childhood. They are usually asymptomatic but can have complaints such as splaying of urinary stream, pain during intercourse or micturition, deviation and spraying of urine, discomfort at the parameatal area.
A 14-year-old boy with parameatal urethral cyst for the last 2 years came to us with complaints of the cyst gradually increasing in size. Except for slight discomfort at parameatal region, he had no other complaints. On examination, a tense cyst was seen on the right wall of meatal opening, at 6–12 O'clock, measuring 1 cm × 1 cm [Figure 1]a. The patient was planned for diagnostic cystoscopy to see the extent of the cyst followed by its complete excision. On cystoscopy, the cyst was extending 1 cm inside the urethral opening with mild urethral congestion along with its whole extent, and normal bladder. The cyst was completely excised and meatoplasty was done [Figure 1]b. Histopathological examination revealed cyst lined by squamous epithelium and lumen lined by transitional epithelium. He is doing well on follow-up and is happy with the cosmesis.
|Figure 1: Photographs of case (a) parameatal urethral cyst; (b) after cyst excision and meatoplasty|
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Parameatal urethral cysts have a tendency for spontaneous resolution in newborn and infants. Hence it is advised to go for conservative management in them with regular follow-up; but in symptomatic and older patients who want cosmesis, complete surgical excision is the treatment of choice.,
Declaration of patient consent
The authors certify that they have obtained all appropriate patient consent forms. In the form the patient (s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initial s will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.
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Conflicts of interest
There are no conflicts of interest.
| References|| |
Shaw SC, Vinod MS, Devgan A. Parameatal urethral cyst. Med J Armed Forces India 2018;74:76-7.
Song SH, Kim DS. Neonate with a parameatal urethral cyst. AME Case Rep 2019;3:16.
Matsuyama S, Matsui F, Yazawa K, Matsumoto F, Shimada K, Matsuoka K. Long-term follow up of median raphe cysts and parameatal urethral cysts in male Children. Urology 2017;101:99-103.