Vol. 7, Issue 2, Part A (2025)

Parameatal cysts are rare benign lesions arising near the external urethral meatus, predominantly seen in male children. These cysts are congenital and usually asymptomatic but may present with urinary complaints such as dysuria, branched urinary stream, or retention. Their etiology remains unclear, although obstruction of the parameatal duct or failure of epithelial separation from the glans has been suggested. Diagnosis is largely clinical, and treatment options vary from observation to surgical excision. We report a case of a term male neonate diagnosed with a congenital parameatal cyst that was managed conservatively.