Paraurethral or Skene's duct cysts are a rare congenital abnormality in the female neonate and are characterized by a round, yellow or orange‐coloured cystic mass on either side of the urethra meatus. In the past 17 y we have treated six cases of paraurethral cysts in our unit. All patients underwent incision and unroofing of the cyst resulting in complete healing. The diagnosis and therapeutic options for this rare lesion are reviewed. Conclusion: Paraurethral cysts are not as rare as suggested in the literature. Excision, marsupialization and needle aspiration of the cyst are all effective methods of treatment. However, spontaneous resolution has also been reported. It is suggested that the least aggressive therapy should be used.

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Bladder augmentation alone without simultaneous antireflux repair is usually sufficient for the resolution of pre-existing reflux. The various GI segments used for augmentation have no effect on urodynamic results and the resolution of VUR.

We describe a 3-year-old boy who presented with dysuria and urinary retention. The diagnostic work-up (USS, MRI, urethrocystoscopy), suggested a polypoid lesion at the bladder base, originating from the verumontanum. Histology showed the lesion to be a fibroepithelial polyp. A rare cause of urinary retention in childhood must be considered in the differential diagnosis.

An indwelling transurethral catheter obviates urinary retention and avoids distressing postoperative micturation. It minimises the chance of urethrocutaneous fistula and meatal stenosis in Y-V glanuloplasty modified Mathieu repair.