Parameatal cyst in an infant

Parameatal cyst is a rare condition, with only near 50 cases described in the literature. It is a benign clinical entity that typically manifests at birth or in early childhood.¹ They commonly appear on the ventral or lateral margin of the urethral meatus, usually measuring less than 1 cm and without urinary disturbances.^2,3 The diagnosis is based on clinical appearance.⁴ The etiology and pathogenesis of these cysts remains undetermined.⁵ There are no known comorbidities or syndromes associated with this condition.⁶ Management of parameatal cysts should be conservative in asymptomatic cases. However, close observation is crucial as the cysts may increase in size and/or lead to urinary flow disturbance, dysuria, urinary retention, as well as cosmetic complaints. In such cases, a comprehensive evaluation of the urinary tract is necessary to assess for obstructive phenomena and surgical excision should be considered.^4,6,7
The authors aim to raise awareness for this rare benign finding that can present a diagnostic challenge for pediatricians.

References :

S L, Ankur A. Parameatal cyst: a presentation of rare case and review of literature. J Clin Diagn Res. 2013;7(8):1757-8. Kaselas C, Spyridakis I, Patoulias D, Tsioulas P, Patoulias I. Parameatal Urethral Cyst in a Newborn-A Case Report and Review of the Literature. J Clin Diagn Res. 2016;10(1):SD01-2. Tirtayasa PMW, Samuel AG, Lisnawati, Retnowulan A. Parameatal glans cyst: A case report. Urol Case Rep. 2021;39:101802. Shaw SC, Vinod MS, Devgan A. Parameatal urethral cyst. Med J Armed Forces India. 2018;74(1):76-7. Rathod S, Neema S. Parameatal Urethral Cyst. Indian Pediatr. 2022;59(10):819. Christensen CA, Mugarab-Samedi V. Management of large congenital parameatal cyst: Observation or intervention? (Case Report). Int J Surg Case Rep. 2020;69:58-60. Song SH, Kim DS. Neonate with a parameatal urethral cyst. AME Case Rep. 2019;3:16.