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Clinical and surgical insights into parameatal urethral cyst

Ganesh Laxman Krishnamurthy1, Ankit Agarwal1, Vijay Gunashekar1

  • 1Urology and Renal Transplant, Kasturba Medical College, Manipal, Karnataka, India.

BMJ Case Reports
|February 13, 2025
PubMed

Insights

Parameatal urethral cysts, rare congenital urethral abnormalities, can cause urinary issues or cosmetic concerns. Surgical excision offers effective treatment with excellent outcomes and no recurrence.

Area of Science:

  • Urology
  • Pediatric Surgery
  • Congenital Abnormalities

Background:

  • Parameatal urethral cysts are uncommon, benign congenital urethral anomalies.
  • Typically diagnosed in early childhood, symptoms can include urinary flow issues, sexual dysfunction, or cosmetic concerns.

Purpose of the Study:

  • To present two distinct cases of parameatal urethral cysts diagnosed in later life (adolescence and young adulthood).
  • To discuss the surgical management and outcomes of these rare presentations.

Main Methods:

  • Case presentation of two males with parameatal urethral cysts.
  • Surgical excision of the cysts.
  • Histopathological examination of cyst walls.

Main Results:

  • One patient presented with urinary splaying and sexual intercourse difficulties; the other with cosmetic concerns.
  • Both cysts were surgically excised and histopathologically confirmed as lined with stratified squamous epithelium.
  • Excellent cosmetic results and no recurrence or voiding issues were observed post-surgery.

Conclusions:

  • Parameatal urethral cysts can present later in life with varied symptoms.
  • Surgical excision is an effective treatment, yielding favorable cosmetic and functional outcomes.

Keywords:
PediatricsUrological surgery

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