Christensen Christopher A, Mugarab-Samedi Veronica
Department of Pediatrics, Jim Pattison Children's Hospital, Saskatoon S7K 1M6, Canada; University of Saskatchewan, Saskatoon S7K 1M6, Canada.
Department of Pediatrics, Jim Pattison Children's Hospital, Saskatoon S7K 1M6, Canada; University of Saskatchewan, Saskatoon S7K 1M6, Canada.
Int J Surg Case Rep. 2020;69:58-60. doi: 10.1016/j.ijscr.2020.03.028. Epub 2020 Mar 28.
A parameatal urethral cyst is a rare finding in an otherwise well child. They can present as either congenital malformations or as a finding later in life, and may occur either unilaterally or bilaterally on the glans penis. Though they are benign, possible complications include impaired urinary stream flow, dysuria, or hindered cosmesis.
We report a spontaneous resolution of large congenital parameatal cyst in an otherwise healthy neonate whose mother had a recent history of urinary tract infection. A spontaneous resolution of the cyst was reported at the age of one month.
A small parameatal cysts have shown spontaneous resolution approximately 25% of the time. Treatment options should not include aspiration or marsupialization as many cases have shown recurrence. The role of antenatal infection in development of parameatal cyst not yet been determined.
A large parameatal cyst could resolve spontaneously, routine observation recommended for majority of cases.
尿道旁囊肿在其他方面健康的儿童中是一种罕见的发现。它们既可以表现为先天性畸形，也可以在生命后期出现，并且可能单侧或双侧发生于阴茎头。虽然它们是良性的，但可能的并发症包括尿流受阻、排尿困难或影响美观。
我们报告了一例原本健康的新生儿，其母亲近期有尿路感染病史，该新生儿的大型先天性尿道旁囊肿自发消退。囊肿在1个月大时报告自发消退。
小型尿道旁囊肿约25%的病例显示可自发消退。治疗选择不应包括抽吸或袋形缝合术，因为许多病例显示有复发。产前感染在尿道旁囊肿形成中的作用尚未确定。
大型尿道旁囊肿可自发消退，大多数病例建议进行常规观察。
