Urethral Cysts: Will They Resolve on Their Own? - Urology

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Regarding urethral meatal cysts?


Will a urethral meatus cyst go away on its own if left untreated? If it doesn't go away and is ignored, what could be the consequences? I previously saw a doctor who said it was likely a cyst.
I was prescribed a green Neomycin ointment, but it doesn't seem to have made much difference.
Thank you.

wenti, 20~29 year old female. Ask Date: 2006/07/05

Dr. Chen Xiuyi reply Urology


Hello: A cyst near the urethral opening generally does not resolve on its own.
If it enlarges, it may affect urination and cause a split stream.
If accompanied by infection, there may be redness, swelling, and pain, which would require treatment.
NEOMYCIN OINTMENT is an antibiotic ointment that can be used to treat infections.
Sincerely, Dr.
Chen Hsiu-Yi, Urologist.

Reply Date: 2006/07/05

More Info


Urethral cysts, also known as urethral diverticula or cystic lesions, can be a source of concern for many individuals. Understanding their nature, potential for resolution, and implications for health is essential for making informed decisions about management.

Firstly, urethral cysts can vary in size and symptoms. Many cysts are asymptomatic and may not require treatment. However, if they become symptomatic—causing pain, discomfort, or urinary issues—medical intervention may be necessary. In some cases, urethral cysts can resolve on their own, particularly if they are small and not causing any obstruction or irritation. However, this is not guaranteed, and many cysts may persist over time.

If left untreated, urethral cysts can lead to complications. These may include recurrent urinary tract infections (UTIs), obstruction of urine flow, or, in rare cases, the development of more significant lesions. Symptoms such as pain during urination, increased frequency of urination, or any unusual discharge should prompt further evaluation by a healthcare professional.
In your case, the use of Neomycin ointment, an antibiotic ointment, suggests that your doctor may have been concerned about a potential infection or irritation associated with the cyst. While topical antibiotics can help manage infections, they may not directly affect the cyst itself. If the cyst is not responding to topical treatment and remains unchanged, it may be worth discussing further options with your healthcare provider.
In terms of management, if the cyst is asymptomatic and not causing any complications, a "watchful waiting" approach may be appropriate. Regular follow-ups can help monitor the cyst for any changes. If the cyst becomes symptomatic or shows signs of infection, more invasive treatments, such as drainage or surgical removal, may be considered.

It's also important to consider lifestyle factors that may contribute to urinary health. Staying well-hydrated, practicing good hygiene, and avoiding irritants (such as certain soaps or hygiene products) can help maintain urinary tract health.
In conclusion, while some urethral cysts may resolve on their own, others may require monitoring or intervention, especially if they cause symptoms or complications. It is crucial to maintain open communication with your healthcare provider about any changes in symptoms or concerns you may have. Regular check-ups can ensure that any potential issues are addressed promptly, helping to maintain your overall urinary health. If you have further questions or concerns, do not hesitate to reach out to your doctor for personalized advice and management options.

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