|Year : 2012 | Volume
| Issue : 1 | Page : 45-46
Parameatal cyst of glans penis
Siddalingeshwar I Neeli, Praveen Patne, Suresh Kadli, Siddayya Hiremath
Department of Urology, KLE University's J.N. Medical College and KLES Dr. Prabhakar Kore Hospital and MRC, Belgaum, Karnataka, India
|Date of Web Publication||21-May-2012|
Siddalingeshwar I Neeli
Department of Urology, KLE University's J.N. Medical College and KLES Dr. Prabhakar Kore Hospital and MRC, Belgaum, Karnataka
Source of Support: None, Conflict of Interest: None
The parameatal cyst is a very benign condition seen in boys. We report a case of a parameatal urethral cyst in a 12-year-old boy. The cyst was recognized during early childhood, but the boy presented to our clinic at the age of 12 years, when the mass had grown enough to cause spraying of urine and poor cosmesis. A complete surgical excision was performed. Histologically, the cyst wall was lined by a tall columnar epithelium. Good cosmetic results, with no recurrence, were obtained.
Keywords: Glans penis, parameatal cyst, urethral cyst
|How to cite this article:|
Neeli SI, Patne P, Kadli S, Hiremath S. Parameatal cyst of glans penis. J Sci Soc 2012;39:45-6
| Introduction|| |
Parameatal cysts of the penis have previously been reported under various diagnostic terms, such as, mucoid cyst, urethral cyst, and apocrine cystadenoma, all having common clinical features, and are histologically similar. The etiology of a parameatal urethral cyst is unclear. Parameatal urethral cysts are usually asymptomatic, however, sometimes they can cause a variety of symptoms, including, poor cosmetic of the genitalia, dysuria, difficulty in urination, and acute retention. ,, We hereby report a parameatal urethral cyst in a boy because of its rarity; the diagnosis and management of this situation is discussed with relevant literature.
| Case Report|| |
A 12-year-boy presented with a painless cystic mass approximately 1 cm × 1 cm on the right side of the external urethral meatus. The cyst was present since early childhood, with no symptoms. However, it resulted in spraying of urine since two months. The diagnosis was made on clinical examination. His routine investigations were normal. The cyst was excised under spinal anesthesia and the edges sutured with 5-0 chromic catgut. Cystoscopy under the same anesthesia did not reveal any abnormality. The postoperative period was uneventful. Histopathologically, the luminal surface wall of the cyst consisted of a tall columnar epithelium. Good cosmetic results wre obtained, without meatal stricture or urine flow problems after the surgical excision. No recurrence was observed at the two-year follow-up [Figure 1].
| Discussion|| |
A parameatal urethral cyst is a very rare lesion in boys, but they can also occur in infants, girls, and adults. The parameatal cyst was first reported by Thompson and Lantin in 1956.  Usually paraurethral cysts are asymptomatic, but occasionally, patients may have dysuria, difficulty in micturition, and acute retention. ,,
The etiology of a paraurethral cyst is completely unknown, but it may occur due to obstruction of the paraurethral ducts, secondary to infection, in adults.  Thompson and Lantin explained the development of the parameatal cysts of the glans penis, as being due to the persistence of cystic spaces in the separation line of the prepuce from the glans.  Shiraki proposed that occlusion of a paraurethral duct was the cause,  while Hill and Ashken believed that infection could be a possible cause of obstruction. 
Waiting for spontaneous rupture, needle aspiration, marsupialization, and complete surgical excision have been reported for the treatment of the cyst. ,,, Spontaneous rupture is rare in boys, and the duration of conservative management is not clear. Recurrence can be seen after a spontaneous rupture or aspiration, but satisfactory cosmetic results may not be obtained. Marsupialization of the cyst may be cosmetically unsatisfactory, and recurrence can also be seen. However, good cosmetic results with no recurrence, has been reported with complete surgical excision.
Histologically, the cyst wall may be lined by columnar, squamous or transitional epithelium.  The lining epithelium actually varies according to the segment origin of the urethra of the lesion. Similarly, in the present case, the cyst wall was lined by a tall columnar epithelium.
| Conclusion|| |
A parameatal cyst is a benign, usually asymptomatic condition that may contain a variety of epithelial types. Only a physical examination may be sufficient to make a diagnosis, and complete surgical excision may be necessary to obtain good cosmetic results without recurrence.
| References|| |
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