Parauretheral cyst in a newborn- A rare case study

Volume : VII, Issue : X, October - 2018

Amit Bajpai

Paraurethral cysts are a rare congenital abnormality presenting as interlabial mass in female neonates. These cysts

form due to obstruction of the glandular ductus or cystic degeneration of emyonic remnants of the paraurethral

glands. Paraurethral glands and ducts that empty into the vaginal vestibule close to the urethral meatus are rudimentary female homologs

of the prostate, and the two largest of these ducts are known as Skene‘s ducts. The differential diagnosis of paraurethral Skene‘s duct cysts in

newborns includes imperforate hymen, Gardner duct cyst, Mullerian duct cyst, urethral prolapse, rhabdomyosarcoma of the vagina,

prolapsed ectopic ureterocele, condyloma, urethral polyp, congenital lipoma and vaginal prolapse. The distinguishing features of

paraurethral cysts are the displacement of the urethral meatus by the mass and a cyst containing milky 􀃸uid. Treatment options vary from

observation to surgery. Rarely, Skene‘s duct cysts require no drainage and resolve with time or rupture spontaneously. This reported case

showed spontaneous regression of the cyst in a period of three month. The rare nature of the lesion and spontaneous resolution of the same

makes it a rare case study.