A Distal Urethral Cyst in a Female Newborn (A Rare Case)

Skene's glands are the largest external secretory glands in the distal part of the urethra. Although cystic changes caused by abnormal accumulation of significant amounts of secretions are rare, they can be seen even at birth. The presented case was a female full-term newborn with vaginal delivery. This was the second pregnancy of her mother after another living child. The mother was 26 years old and had no history of birth trauma, medication, abnormal ultrasound findings, or exposure to the known teratogenic agents during pregnancy. Routine physical examination of the newborn revealed no abnormal findings except for a rounded mass with a yellowish cystic consistency located at the intralabial portion of the genital area, without involving the lower part of the urethra. Further examination revealed both vagina and hymen had normal structure. The genito-urinary ultrasound after birth showed essentially normal anatomy except for a non-mobile paraurethral cystic mass measuring about 20*21 mm placed at the urethral wall. In clinical follow-up, this mass began to regress 3 days after birth and was not complicated for the next two months. Commonly, these cysts do not require any surgical intervention if not complicated, while the clinical follow-up might be considered for a long time.