role of perineal ultrasound in differentiating paraurethral cysts in newborns

Background: paraurethral cyst or skene’s gland cyst is a rare congenital abnormality and a rare cause of paraurethral cysts resulting from skene’s gland, which has been reported in few studies so far. the skene’s duct cyst can cause urinary retention or anuria; moreover, it can appear as an inter-labial mass in neonates. case report: our patient was a one-day-old female neonate presented with anuria and an inter-labial mass found in physical examination. the patient was referred by a pediatric surgeon to our department for sonographic evaluation. we did an ultrasound examination and made a tentative diagnosis of paraurethral cyst based on grayscale appearance and ultrasonographic criteria of the cystic lesion. the patient underwent surgery, a biopsy was obtained, and the specimen was sent for pathologic evaluation to a pediatric pathologist. the result confirmed our diagnosis as a skene’s duct cyst. conclusion: in this study, it was found that paraurethral cysts in newborns can be investigated using perineal ultrasound, which can eliminate the need for invasive surgeries.