Image Gallery: Pilonidal sinus of the penis

A Pinpoint Orifice on the Glans Penis of a Young Man

“…8 Additional findings that may point to the diagnosis are hair protruding from the cavity and a central orifice on dermoscopy. 9 Treatment is surgical with excision of the tract and healing by secondary intention.…”

“…Clinical presentation varies and includes penile papules and swelling; in complicated cases, there may be abscess formation, coinfection, and even ulceration mimicking sexually transmitted infections and penile carcinoma . Additional findings that may point to the diagnosis are hair protruding from the cavity and a central orifice on dermoscopy . Treatment is surgical with excision of the tract and healing by secondary intention.…”

S3-Leitlinie: Sinus pilonidalis. 2. revidierte Fassung 2020

“…Der Pilonidalsinus tritt vornehmlich in der Rima ani auf, wird aber auch im Nabelbereich [106,170,175,247,316], inter-und submammillär [422], an Vulva, Mons pubis und Klitoris, [212,213,239], Penis [268,350], Anus [365,452], interdigital (z. B. bei Friseuren; [57,168,376,447]), an der Fingerspitze [198] im Bereich der Brust [176] und auch im Bereich der Nase [238] und hinter den Ohren gesehen [485].…”

Pilonidal sinus disease of the penis: A case report and review of the literature

“…The time between onset of symptoms prior to presentation to secondary or tertiary services was between two weeks and 48 months (Burgess, Rees, & Douglas-Jones, 1992;Chikkamuniyappa et al, 2004;Fisher, Peters, & Witherow, 1976;Khan & Scott, 1992;Val-Bernal et al, 1999). Those who presented had an array of signs and symptoms including abscess formation, discharge, dyspareunia, penile swelling, phimosis and on one occasion, erectile dysfunction (Al Chalabi et al, 2008;Al-Qassim et al, 2013;Bervar et al, 1968;Burgess et al, 1992;Chikkamuniyappa et al, 2004;Cormio, Sanguedolce, Massenio, Di Fino, & Carrieri, 2013;Eckhart, 1969;Ercil, Alma, Eflatun Deniz, Unal, & Sozutek, 2018;Fisher et al, 1976;Goudarzi & McColl, 1976;Goulao, Serrano, Cachão, & Bártolo, 2009;Griffin, McEvilly, & Cole, 1990;Kalsi, Arya, Freeman, Minhas, & Ralph, 2004;Khan & Scott, 1992;Lingam, Hayes, & Mackay, 1996;Navarrete et al, 2017;O'Kane et al, 2004;Rao, Sharma, Thyveetil, & Karim, 2006;Rashid, Williams, Parry, & Malone, 1992;Ritchie, 1975;Saharay, Farooqui, & Chappell, 1997;Sion-Vardy et al, 2009;Val-Bernal et al, 1999;Yates-Bell, 1968). The lesions themselves were typically located on the dorsal aspect of an uncircumcised penis near the coronal sulcus.…”

“…Initially just swabbed. Then came back with swelling Navarrete et al (2017) Terminal hair inserted in the epidermis, with multinucleated giant cells in the dermis Dermoscopy via biopsy and circumcision only Cormio et al (2013) N/A Thick-wall cyst lined by a stratified squamous epithelium. Few hair fragments were recognisable in the lumen and in the wall itself, where they elicited a foreign body granulomatous reaction.…”