title: Paraurethral cyst in two female newborns: which therapy option?
abstract: Paraurethral cysts are rare in females, especially in the neonatal period. The aetiology of congenital paraurethral cysts is obstruction of Skene's ducts from para/periurethral glands. Paraurethral cysts may be totally asymptomatic, non-tender, soft, cystic, ovoid masses about 6-10 mm in size and yellowish in colour. These lesions may be discovered on either side of the urethral meatus during routine examination and most of these resolve spontaneously. This study reports two female newborns with paraurethral cysts treated with needle aspiration because of difficulty in excretion of urine on the first day of life. The second case needed another course of needle aspiration 1 month later. There is no consensus on the treatment because of the benign nature of the paraurethral cysts and the probability of spontaneous regression. Surgical alternatives include excision, marsupialization and needle aspiration. If a surgical approach is needed, e.g. because of difficulty in urination, needle aspiration should be used as the initial surgical intervention.
authors.affiliation: Department of Pediatric Surgery, Zekai Tahir Burak Maternity Teaching Hospital, Ankara, Turkey. dryavuzyilmaz@yahoo.com
authors.forename: Yavuz
authors.initials: Y
authors.lastname: Yilmaz
authors.forename: Istemi Han
authors.initials: IH
authors.lastname: Celik
authors.forename: Evrim Alyamac
authors.initials: EA
authors.lastname: Dizdar
authors.forename: Gamze
authors.initials: G
authors.lastname: Demirel
authors.forename: Sadik
authors.initials: S
authors.lastname: Yurttutan
authors.forename: Omer
authors.initials: O
authors.lastname: Erdeve
authors.forename: Serife Suna
authors.initials: SS
authors.lastname: Oguz
authors.forename: Ugur
authors.initials: U
authors.lastname: Dilmen
mesh_terms: D044963:Biopsy, Fine-Needle / Q000379:methods*; D003560:Cysts / Q000151:congenital* / Q000175:diagnosis / Q000628:therapy*; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D016896:Treatment Outcome; D014521:Urethra / Q000601:surgery; D014522:Urethral Diseases / Q000151:congenital* / Q000175:diagnosis / Q000628:therapy*; D013520:Urologic Surgical Procedures