BMJ Case Reports 2018; doi:10.1136/bcr-2018-227425
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Bilateral parameatal cysts with associated hypospadias presenting in a newborn baby

  1. Shiva Shankar
  1. Department of Neonatal Medicine, The Shrewsbury and Telford Hospital NHS Trust, Telford, UK
  1. Correspondence to Dr Sagarika Ray, sagarika.ray{at}
  • Accepted 20 September 2018
  • Published 3 October 2018


A male infant presented to the neonatal team on day 1 of life with concerns over cysts on his penis. He had been born at term in good condition following an emergency caesarean section for face presentation and suboptimal cardiotocograph. There was no relevant antenatal history of note and no significant family history.

He had a normal examination other than his genitalia. He had a coronal hypospadias with two symmetrical cystic lesions measuring 2–3 mm each on the glans penis, just distal and lateral to the opening of the urethral meatus on the ventral surface (figure 1). There was no obvious discharge or surrounding erythema. By day 2, there was some mild superficial ulceration of the cyst surfaces. Both testes were palpable in his scrotum. He was discharged home after confirmation …

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