
Dr. Anil Takvani
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24 Nov 2024 01:27:43 PMCystic lesion at the tip of glans
In last 15 days I showed 2 cases of cystic lesion at tip of glans extending in one wall of meatus.



Comments(5)
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Venugopal P
31 Jan 2021 11:57:13 AMDear All,
Para meatal urethral cysts are very rare benign lesions usually seen in children but occasionally seen in Adults as well. They were first described by Thompson and Lantin in 1956. The cysts are usually small, about 1 cm in diameter. They occur on the lateral margin of the urethral meatus and, at times, can be bilateral. They may be congenital or they may appear spontaneously
The pathogenesis of these cysts has not been exactly understood. Thompson and Lantin indicated that Para-meatal urethral cysts occurred in the process of delamination or separation of the foreskin from the glans penis, while Yoshida et al (1985) believed that they were caused by occlusions of paraurethral ducts. Hill et al (1977) suggested that these obstructions could be caused by infections.
N Ichiyanagi et al (1998) suggested that the origin of para-meatal urethral cysts could be from accessory male sex glands in the penile urethra and has been demonstrated by prostatic-specific antigen in cells of these cysts with the help of immunohistochemistry.
I am providing two articles, one as link and the other in PDF format which could help us to understand Para-meatal cysts better
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5295755/pdf/mjms-22-6-071.pdf
With warm Regards,
Venu
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Douglas Canning
01 Feb 2021 07:59:40 PMI think these can be opened and marsupialized without problem. No need to resect them. They sometimes extend well into the glans
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Dr. Anil Takvani
01 Feb 2021 08:40:55 PMDr. Canning, thanks for your valuable opinion.
Can we marsupialize this para meatal lesion?Second as you said if it's extending deep in glans, then?Thanks
Dr. Anil Takvani
30 Jan 2021 10:28:14 PMThese are the images of another patient. No history of clear fluid discharge. It is gradually increasing in size.