Paraurethral cysts are a very rare condition. The etiology of paraurethral cysts is unclear. Congenital lesions are thought to be caused by an obstruction to the separation of the foreskin from the glans or by occlusion of the paraurethral duct. Acquired cysts may be caused by infection. The age of manifestation is usually at either early or late childhood. Often the lesion is first noticed when the foreskin can be opened. Cysts are usually asymptomatic, although they may sometimes be itchy or painful. Large cysts and those close to the urethra may cause a deflected or discrete urine stream. Lesions often recur after spontaneous rupture or puncture. To treat and prevent recurrence, complete excision of the cyst and removal of all epithelium is required. Simple cyst puncture and aspiration or debulking may lead to recurrence.