About this condition
A paraurethral cyst appears next to the urethral opening and may feel like a small local lump. A person may notice discomfort during sex or while urinating, or find it incidentally. Position alone is not enough to determine whether the swelling is a simple gland cyst, a urethral diverticulum or another lesion.
Possible causes and clinical context
A clinician reviews pain, recurrent urinary infections, changes in urination and growth of the swelling. Examination assesses whether the lesion is closely related to the urethra. When needed, urinalysis, ultrasound, MRI or another specialist opinion can clarify its nature.
Assessment and follow-up
Small, asymptomatic lesions may sometimes be monitored. Infection, recurring symptoms or obstruction require a different plan based on the actual diagnosis. Surgical treatment is only considered for selected situations and the availability of a particular operation or surgeon must be checked separately.
Do not try to express fluid from or open a lump close to the urethra. If urinary flow changes or local pain grows, seek an appropriate examination instead of assuming that all paraurethral swellings are harmless cysts.
Related topics: Bartholin gland cyst; Urine leakage with exertion.
Signs and symptoms
- A small lump close to the urethral opening.
- Discomfort with urination or sexual intercourse.
- Possible recurrent urinary complaints, swelling or tenderness if inflamed.
Diagnosis and tests
History and examination assess the relationship of the lesion to the urethra. Urinalysis or selected ultrasound, MRI and specialist review may be considered to rule out urethral diverticulum and other causes.
Care and treatment approaches
Observation can be suitable for a small symptom-free lesion. Infection or significant symptoms call for tailored management. Surgery is reserved for selected diagnoses and should never be assumed to be routinely available.
When to seek urgent care
If you cannot pass urine, have severe new pain, rapidly increasing swelling or markedly worsening general health, seek urgent medical care. For serious or life-threatening symptoms call 103 or 112 in Ukraine.
Frequently asked questions
Is a paraurethral cyst the same as a urethral diverticulum?
No. The two conditions can cause similar complaints but have different anatomy and may require different tests or treatment.
Does an asymptomatic cyst always need removal?
No. Some small cysts can be monitored after a clinician confirms the diagnosis and rules out concerning features.
When should I seek urgent care?
Urinary retention, severe pain, rapidly enlarging swelling or significant illness requires urgent assessment.
Information sources
Medical source links used when preparing this article.
Important information
A medical consultation is needed for diagnosis and treatment recommendations.
Self-treatment can be harmful to your health.
