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Journal of Indian Association of Pediatric Surgeons
     Journal of Indian Association of Pediatric Surgeons
Official journal of the Indian Association of Pediatric Surgeons         
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LETTERS TO THE EDITOR
Year : 2022  |  Volume : 27  |  Issue : 4  |  Page : 511
 

Parameatal urethral cyst in children


Department of Pediatric Surgery, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India

Date of Submission16-Sep-2021
Date of Decision07-Dec-2021
Date of Acceptance08-Jan-2022
Date of Web Publication26-Jul-2022

Correspondence Address:
Enono Yhoshu
6th Floor A Block, Department of Pediatric Surgery, All India Institute of Medical Sciences, Veerbhadra Road, Rishikesh - 249 203, Uttarakhand
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jiaps.jiaps_198_21

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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

How to cite this URL:
Chaudhary G, Sharma R, Yhoshu E, Sree BS. Parameatal urethral cyst in children. J Indian Assoc Pediatr Surg [serial online] 2022 [cited 2022 Aug 17];27:511. Available from: https://www.jiaps.com/text.asp?2022/27/4/509/352287




Sir,

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.[1]

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.[2],[3]

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.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
   References Top

1.
Shaw SC, Vinod MS, Devgan A. Parameatal urethral cyst. Med J Armed Forces India 2018;74:76-7.  Back to cited text no. 1
    
2.
Song SH, Kim DS. Neonate with a parameatal urethral cyst. AME Case Rep 2019;3:16.  Back to cited text no. 2
    
3.
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.  Back to cited text no. 3
    


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