An epidermal cyst of the penis after distal hypospadias surgery: a case report

Güler, Yavuz; Tatar, Zeynep; Üçpınar, Burak; Erbin, Akif

doi:10.1186/s13256-018-1930-6

Cited by 6 publications

(13 citation statements)

References 10 publications

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“…13 Another very recent case report by Gular et al concluded that epidermal inclusion cyst as a complication of hypospadias surgery is a very rare situation and histopathological diagnosis and surgical excision is sufficient for treatment. 14 The present study results corroborate these findings.…”

Section: Discussionsupporting

confidence: 91%

Unusual complications of hypospadias repair: diagnosis and management

et al. 2019

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Background: Epidermal inclusion cyst, smegma stones and urethral calculi of the penis are rare and may result as a late complication of hypospadias repair. This study reported the presentation and management of these late complications.Methods: A prospective observational study included male patients aged more than 6 years of age, who had undergone hypospadias repair 3-15 years back and presented with slow growing, non-tender, mobile, firm to hard swelling. Histopathological and radiographic examination were done and surgery was used for management of epidermal inclusion cyst, urethral calculi and smegma stone. Patients were followed up for one year, postoperatively.Results: Out of 15 patients, two (13.3%), four (26.7%) and nine (60%) patients were diagnosed with smegma stones, epidermal inclusion cyst and urethral calculi, respectively. The median (range) age of patients was 17 (8-30) years. Patients were presented with slow growing, non-tender, mobile swelling measuring from 1 cm x 3 cm to 2 cm x 1.5 cm. The average size of epidermal inclusion cyst, and urethral calculi was 2 cm x 2.5 cm x 1.5 cm, and 2 cm x 3 cm, respectively. Treatment were complete excision of cyst and removal of smegma stones by surgery and urethral calculi by dorsal urethrotomy. All patients had an uneventful postoperative period and were asymptomatic up to one year of follow-up.Conclusion: Results suggest that these complications can be managed with complete excision and surgical removal and care must be taken while performing the hypospadias repair to avoid these unusual late complications in patients.

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Section: Discussionsupporting

confidence: 91%

Unusual complications of hypospadias repair: diagnosis and management

et al. 2019

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“…It has been suggested that these practices lead to the formation of cysts by causing traumatic implantation of the epidermis and occlusion of eccrine sweat glands and hair follicles [4,7,14]. In our series, in a case with a history of hypospadias surgery, we believe that cyst formation occurred due to penile block injection used for postoperative analgesia because the cyst was in the penile dorsum close to the penopubic junction (Figure 1 PECs are rigid, solitary, well-circumscribed, round, painless, and mobile masses that generally grow slowly [3,4,15,16]. Diagnosis is usually made using clinical findings and confirmed by histopathological examination.…”

Section: Discussionmentioning

confidence: 76%

Acquired Penile Epidermoid Cysts in Children

Yağmur¹,

Tekın²,

Bağcı³

et al. 2022

Cureus

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BackgroundIn this study, we aim to present the experience of a tertiary center regarding penile epidermoid cysts over 15 years. MethodologyPatient files of those who underwent surgical excision for penile epidermoid cysts between 2005 and 2019 were reviewed retrospectively. The demographics, clinical characteristics, etiological factors, cyst features, surgical techniques, complications, and follow-up data were analyzed. ResultsIn total, 24 penile epidermoid cysts were excised in 21 boys. The median age at the time of surgery was 52 (15-204) months. The median duration between previous surgery and cyst excision was 40 (1-180) months. In total, 11 cases had a history of circumcision, and 10 had undergone hypospadias surgery. There was no significant difference between these two etiologic groups (p > 0.05). The main symptom was an asymptomatic penile mass. The average cyst size was 9.4 ± 6.7 mm. All cysts were completely excised with incisions made over old scars, except one. No complications were observed during a median follow-up period of 50 (12-120) months, and only one recurrence was noted. ConclusionsAcquired penile epidermoid cysts may present as an early or late complication after penile surgery. Complete excision with an incision along the existing scars seems to be an effective solution for preventing new scars.

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“…Epidermoid cysts of the penis are mainly encountered in children 2 . These cysts result from implantation and proliferation of epidermal elements in the dermis.…”

Section: Discussionmentioning

confidence: 99%

A rare entity: penile epidermoid cyst in a boy

Cankorkmaz¹,

Eğılmez²

2021

Cumhuriyet Medical Journal

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Epidermoid cysts (EC), is one of the common benign tumours presenting anywhere in the body. However penile EC is rare, even rarer in pediatric age group. There are usually congenital. EC result from the proliferation of epidermal cells within a circumscribed space of the dermis. A five-year-old boy presented with an asymptomatic, elastic swelling on the ventral surface of the penis near the corona for three years. The swelling was flesh-colored, subcutaneous, and freely movable within the dermis. He had no history of inflammation or any urinary symptoms. Rest of the genitals were normal. Excision of the cyst was performed under general anesthesia. The histopathology reported the swelling as an EC. No recurrence has been noted in the three year since excision. Penile EC can occur after minor surgical procedure like circumcision. The condition needs to be treated with total surgical excision in case it occurs.

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An epidermal cyst of the penis after distal hypospadias surgery: a case report

Cited by 6 publications

References 10 publications

Unusual complications of hypospadias repair: diagnosis and management

Unusual complications of hypospadias repair: diagnosis and management

Acquired Penile Epidermoid Cysts in Children

A rare entity: penile epidermoid cyst in a boy

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