Prenatal diagnosis of a paraurethral cyst

Johnson, Clark T.; Millard, Sarah; Wang, Ming Hsien; Ehsanipoor, Robert M.

doi:10.1016/j.jpurol.2012.10.003

Cited by 13 publications

(8 citation statements)

References 15 publications

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“…The diagnosis of a Skene's duct cyst can be made by physical examination alone, although it can be assisted by imaging studies to exclude complications or associated anomalies 3 8 9…”

Section: Discussionmentioning

confidence: 99%

Paraurethral cysts in newborn girls

Costantino¹,

Ganesan

2016

BMJ Case Reports

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The Skene's glands are located in the distal urethral floor, and they are the largest paraurethral glands. Skene's gland cysts are unusual at any age, but specially newborns. However, due to lack of systematic reporting, true incidence is probably higher than the one described in the literature. We present a newborn girl found to have a paraurethral cyst at birth. Characteristic displacement of the urethral opening was revealed on catheterisation. Review of literature, and comparison to a similar case of interlabial mass previously evaluated, were carried out. We suggest a prenatal development possibly due to maternal oestrogen exposure, although further studies are necessary to determine the exact aetiology. Treatment options include observation, needle aspiration and incisional drainage, partial excision, unroofing and marsupialisation. Expectant management is preferred in asymptomatic cases, particularly in newborns, since spontaneous resolution can occur without long-term sequalae or recurrence. Cases with acute obstruction require immediate surgical management.

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“…The diagnosis of a Skene's duct cyst can be made by physical examination alone, although it can be assisted by imaging studies to exclude complications or associated anomalies 3 8 9…”

Section: Discussionmentioning

confidence: 99%

Paraurethral cysts in newborn girls

Costantino¹,

Ganesan

2016

BMJ Case Reports

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“…La causa de obstrucción ductal en recién nacidos es desconocida 4,5 . Wrigth postuló que las hormonas femeninas adquirida maternalmente pueden provocar secreción glandular y causar la formación de quistes en neonatos 2,5,8 . Informes recientes destacan que los quistes en general se solucionan espontáneamente después de tres meses de nacido, debido a la baja de estas hormonas femeninas 2 .…”

Section: Discussionunclassified

“…La verdadera incidencia de los quistes de Skene no esta clara por lo descrito en la literatura de distintos países 6 La aspiración con aguja parece ser conveniente y segura, sobre todo en niñas sintomáti-cas, además puede ayudar a aliviar la ansiedad de los padres 6,8 . El tratamiento conservador es también apropiado en muchas circunstancias, en especial en lesiones asintomáticas 2,5,6 .…”

Section: Discussionunclassified

Quiste de conducto de Skene en niñas: A propósito de 2 casos clínicos

Barrera

Herrera

2014

Rev. chil. pediatr.

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skene duct cyst in female newborns -Case reports introduction: The Skene duct cyst, classified as a paraurethral cyst, is a rare congenital abnormality in female neonates and it may manifest throughout the course of life. The incidence varies from 1 in 2000 to 3000 female births. Objective: To expose the characteristics and symptoms of a Skene duct cyst at different stages of child development in order to carry out a timely suspicion and diagnosis. Case report: The first case is a female newborn who presented a painless yellowish tumor adjacent to the urethral meatus, which drained spontaneously; the second case is a teenager who consulted due to leucorrhea for a year and a three-centimeter diameter paraurethral injury between the labia minora, which required surgical treatment and study of the paraurethral mass. Conclusions: Based on the literature review, we concluded that the frequency of Skene duct cyst is higher than the number of reported cases. Cyst removal, marsupialization, puncture and aspiration are all effective treatment methods. Spontaneous drainage is also appropriate in certain cases. We suggest the use of the least aggressive technique according to each case. resUmen introducción: El quiste del conducto de Skene, se describe dentro de los quistes parauretrales, siendo una rara anomalía congénita descrita en neonatos de sexo femenino, que se puede presentar en el transcurso de la vida. La incidencia varía de 1 cada 2.000-3.000 recién nacidos vivos femeninos. Objetivo: Dar a conocer las características y formas de presentación del quiste del conducto de Skene en distintas etapas del desarrollo del niño para su sospecha y diagnóstico oportuno. Casos clínicos: Se presenta una recién nacida con una lesión tumoral amarillenta, adyacente al meato uretral, no dolorosa, que drena espontáneamente y un segundo caso de una adolescente que consulto por leucorrea de un año de evolución, con una lesión parauretral de tres centí-metros de diámetro entre labios menores, que requirió tratamiento quirúrgico y estudio de la masa parauretral. Conclusiones: Basado en la revisión de la literatura, concluimos que la frecuencia de los quistes de conducto de Skene es más alta que el número de casos informados. La extirpación, marsupialización, la punción y aspiración del quiste son todos métodos eficaces de tratamiento. El drenaje espontáneo también es una conducta apropiada en ciertos casos. Se sugiere utilizar la técnica menos agresiva acorde a cada caso. CASOS CLíNICOSRev

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“…With the correct diagnosis, no surgical treatment (aspiration, incision or marsupialization of the cyst wall) is recommended in asymptomatic cases, as spontaneous resolution can occur without sequelae or recurrence. Surgical intervention is indicated only in cases of urethral obstruction or delayed regression 1–6 …”

Section: Answermentioning

confidence: 99%

Newborn with interlabial cystic mass

2021

J Paediatrics Child Health

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Prenatal diagnosis of a paraurethral cyst

Cited by 13 publications

References 15 publications

Paraurethral cysts in newborn girls

Paraurethral cysts in newborn girls

Quiste de conducto de Skene en niñas: A propósito de 2 casos clínicos

Newborn with interlabial cystic mass

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