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Updated: Jun 5, 2026

Microscopic Cyst Resection for the Treatment of Patients Diagnosed with Epididymal Cyst
Published on: March 31, 2023
Parameatal urethral cysts in prepubertal males.
Heather L Willis1, Brent W Snow, Patrick C Cartwright
1Department of Surgery, Division of Urology, University of Utah School of Medicine, Salt Lake City, Utah 84132, USA. heather.willis@hsc.utah.edu
Parameatal urethral cysts in boys are typically benign and asymptomatic. Surgical excision is effective with a low recurrence risk, though spontaneous resolution can occur in neonates.
Area of Science:
- Pediatric Urology
- Dermatology
- Genitourinary Surgery
Background:
- Parameatal urethral cysts are rare in pediatric patients.
- Understanding their characteristics and management is crucial for effective treatment.
Purpose of the Study:
- To describe the largest series of prepubertal boys with parameatal cysts.
- To analyze patient demographics, symptoms, cyst features, and treatment outcomes.
Main Methods:
- Retrospective chart review of pediatric patients diagnosed with penile cysts (1992-2010).
- Data collected included demographics, symptomatology, pathology, cyst characteristics, and treatment provided.
Main Results:
- 18 prepubertal boys with parameatal cysts were identified.
- Most (66%) were asymptomatic; all cysts were <1 cm.
- Surgical excision (78%) resulted in no recurrences; one neonate experienced spontaneous resolution.
Conclusions:
- Parameatal cysts are benign and usually asymptomatic.
- They can contain various epithelial types and may resolve spontaneously in neonates.
- Surgical excision is a safe and effective treatment with minimal recurrence risk.
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