Paraurethral cyst in female newborn: is surgery always advocated?

Fujimoto, Toshio; Suwa, Tomohide; Ishii, Nozomi; Kabe, Kazuhiko

doi:10.1016/j.jpedsurg.2006.10.030

Cited by 31 publications

(40 citation statements)

References 13 publications

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“…The exact incidence is not known, but it is a very rare pathology. For [9]. These paraurethral cysts spontaneously disappeared within a follow-up period of 3-10 months after birth without any surgical intervention.…”

Section: Discussionmentioning

confidence: 87%

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Paraurethral cyst: a case report

et al. 2010

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AbstractParaurethral or Skene’s duct cyst is a rare cause of masses located in the inter-labial genitor-urinary region and their etiology is not fully known. These congenital cysts may be diagnosed easily by inspection in the initial physical examination of the new-borne. Radiological evaluation is helpful for differential diagnosis and in determining the proximal extension of the cystic pathology. Treatment alternatives are needle aspiration and non-surgical follow-ups leading to a spontaneous regression and surgery. In this report the radiological findings of a female newborn diagnosed with paraurethral cyst in US and MR examinations have been discussed.

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Section: Discussionmentioning

confidence: 87%

“…The conclusive diagnosis is confirmed with histopathological examinations after surgery. However, spontaneous resolution has also been reported in paraurethral cysts [2,7,9]. Needle aspiration and excision have been used in the treatment of paraurethral cysts and they both have been reported to have equal success.…”

Section: Discussionmentioning

confidence: 99%

Paraurethral cyst: a case report

et al. 2010

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“…The duration of conservative management is also not precisely mentioned.While conservative treatment is also appropriate in many circumstance, urinary obstruction requires treatment for resolution. 8,9 Current experience suggests that spontaneous rupture of the lesion in neonates is unlikely after 2 months of age and hence surgical intervention in the form of needle aspiration, marsupialisation or excision should be considered after this time. 5 Needle aspiration can be attempted in symptomatic infant but has higher rate of recurrence.…”

Section: Discussionmentioning

confidence: 99%

“…Surgical excision and marsupialization should be upfront treatment for infants and children with urinary obstruction or other manifestations. 9 Patients in whom conservative management is not successful or feasible should also be treated surgically. For older children and adolescents also surgical excision and marsupialisation is the preferred mode of treatment.…”

Section: Discussionmentioning

confidence: 99%

Para-urethral cyst in a female neonate: what pediatricians must know?

Prakash¹,

Singh²,

Vyas³

et al. 2017

Int J Contemp Pediatr

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Para-urethral cyst, arising from cystic dilatation of a paraurethral gland in a female, is rarely reported in neonatal age group. The low frequency and little awareness about its clinical course may lead to inappropriate management. The choice of treatment for this lesion still remains controversial. Surgical excision has been advocated, but non-operative treatment is also gaining popularity nowadays. We are hereby reporting a symptomatic female neonate, whose paraurethral cyst was managed surgically with good recovery. The purpose of this report is to clarify the natural course of paraurethral cysts in female neonates and to generate awareness among physicians and surgeons for correct diagnosis and proper management. The embryology, clinical features and various treatment options are discussed along with the management of our case.

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“…[14][15][16] Hastamızda megaüreter gelişmesinde rolü olabileceği düşünüldüğünden, postnatal 3. gününde hemen kist eksize edilmiştir.…”

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