关键词: Circumcision Cystic swelling Excision External urethral meatus Parameatal urethral cyst

来  源:   DOI:10.1016/j.ijscr.2023.108341   PDF(Pubmed)

Abstract:
UNASSIGNED: Parameatal urethral cyst is a rare benign congenital urethral disorder with limited reports in the literature. The formation of the cyst is believed due to the obstruction of the paraurethral duct. This disorder usually does not produce symptoms even though, in an advanced case, urinary retention and flow disturbance may occur.
METHODS: Herewith, we report case series of parameatal urethral cysts in 5, 11, and 17 years old boys treated with complete surgical cyst excision. The first was 11 years-old-boy with asymptomatic 7 mm swelling in his urethral meatus. The second case was a 5 years-old-boy with 5 mm swelling in his urethral meatus with the complaint of urinary stream distortion. The third case involved a 17-year-old adolescent with a 4 mm cystic bulge in his urethral meatus that caused urinary distortion.
UNASSIGNED: In these cases, the cysts were completely removed with surgical excision and the patients underwent circumcision. Histological examination revealed a cyst wall lined with squamous and columnar epithelium. Good cosmetic result without any recurrent mass and voiding difficulties was reported after 2 weeks of follow-up.
CONCLUSIONS: This study reported three cases of parameatal urethral cysts late presentation at an older age due to no prior symptoms. The patients were managed with surgical excision of the cyst resulting in good cosmesis outcome and without recurrence.
摘要:
产旁尿道囊肿是一种罕见的良性先天性尿道疾病,文献报道有限。认为囊肿的形成是由于尿道旁管的阻塞。这种疾病通常不会产生症状,即使,在一个先进的案例中,可能发生尿潴留和血流紊乱。
方法:特此,我们报告了5、11和17岁男孩行完全外科囊肿切除术的产前尿道囊肿病例系列。第一个是11岁的男孩,尿道口无症状的7毫米肿胀。第二例是一名5岁男孩,尿道口肿胀5毫米,主诉尿流变形。第三例涉及一名17岁的青少年,其尿道口有4毫米的囊性凸起,导致尿液变形。
在这些情况下,通过手术切除完全切除了囊肿,患者接受了包皮环切术。组织学检查显示囊肿壁内衬鳞状和柱状上皮。随访2周后报告了良好的美容效果,没有任何复发性肿块和排尿困难。
结论:本研究报告了3例由于以前没有症状而在年龄较大时晚期出现的产前尿道囊肿。对患者进行了囊肿手术切除,结果良好,无复发。
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