Management of large congenital parameatal cyst: Observation or intervention? (Case Report)

•A congenital parameatal cyst (CPM) can be concerning to parents.•CPM usually presents before the onset of puberty, and is more common in males than females.•Spontaneous resolution of CPM reported in few situations.•The etiology of CPM is largely not understood.•Association of CPM with maternal infection is uncommon. A parameatal urethral cyst is a rare finding in an otherwise well child. They can present as either congenital malformations or as a finding later in life, and may occur either unilaterally or bilaterally on the glans penis. Though they are benign, possible complications include impaired urinary stream flow, dysuria, or hindered cosmesis. We report a spontaneous resolution of large congenital parameatal cyst in an otherwise healthy neonate whose mother had a recent history of urinary tract infection. A spontaneous resolution of the cyst was reported at the age of one month. A small parameatal cysts have shown spontaneous resolution approximately 25% of the time. Treatment options should not include aspiration or marsupialization as many cases have shown recurrence. The role of antenatal infection in development of parameatal cyst not yet been determined. A large parameatal cyst could resolve spontaneously, routine observation recommended for majority of cases.