“…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.…”