Nongonococcal tysonitis

Abstract

Tyson’s glands are sebaceous glands located on each side of the frenulum that communicate with the preputial sac, and their inflammation can be an infrequent complication of urethritis. We describe a rare case that presented with urethral discharge and parafrenular swelling with mucopurulent discharge a week after an unprotected sexual encounter. The patient was empirically treated with 500 mg of ceftriaxone intramuscularly and 100 mg of doxycycline every 12 h for 14 days with symptomatic resolution. The urethral swab culture and the urine polymerase chain reaction (PCR) were negative for Neisseria gonorrhoeae and Chlamydia trachomatis, therefore, and given the response to treatment, nongonococcal tysonitis was diagnosed.

Penile median raphe gonococcal infection

“…This form of presentation is different from gonococcal tysonitis, [6][7][8][9] an infection of Tyson's sebaceous glands located in the frenulum of the prepuce. Although both conditions may present as cysts or pustules, their locations differ: gonococcal tysonitis occurs on both sides of the frenulum, not along the midline raphe.…”