Pseudoepitheliomatous keratotic and micaceous balanitis

Adya, Keshavmurthy A; Palit, Aparna; Inamadar, Arun C

doi:10.4103/0253-7184.120551

Cited by 17 publications

(5 citation statements)

References 11 publications

(15 reference statements)

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“…This is also the first documented case of ‘watering can penis’ as a consequence of venereal transmission of TB. A ‘watering can penis’ and/or ‘watering can perineum’ appearance on Retrograde Urethrography – Voiding Cystourethrography (RGU-VCUG) can be observed in genital TB, gonorrhea, schistosomiasis, Pseudoepitheliomatous, Keratotic and Micaceous Balanitis (PKMB) and Balanitis xerotica obliterans (BXO) [ 4 ]. Fungal infections (eumycotic mycetoma or actinomycotic mycetoma) and lymphogranuloma venereum (LGV) infections can mimic watering can perineum by presenting as multiple discharging sinuses [ 5 ].…”

Section: Discussionmentioning

confidence: 99%

Tuberculosis Penis with ‘Watering Can Penis’ Appearance: Report of a Rare Case with Retrograde Urethrography and Voiding Cystourethrography Findings

Mayilvaganan¹,

Srinivas²,

Reddy³

et al. 2016

Pol J Radiol

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SummaryBackgroundA ‘watering can penis’ secondary to penile tuberculosis is an extremely rare clinical entity. Retrograde Urethrography – Voiding Cystourethrography evaluation of the urethra and the urinary bladder plays a very important role in the diagnostics as well as further management of the urethral abnormalities. To the best of our knowledge, this is only the second case in literature where a ‘watering can penis’ was noted secondary to penile TB. This is also the first documented case of ‘watering can penis’ as a consequence of venereal transmission of TB.Case ReportA 50-year-old male presented with multiple discharging sinuses along the penis. RGU revealed multiple, contrast-filled, narrow, irregular, fistulous tracts arising from the pendulous part of the anterior urethra. This distal segment of the pendulous part of the anterior urethra also showed significant distortion and irregular, beaded narrowing. VCUG showed a markedly-contracted and small-capacity urinary bladder with a thickened, irregular and edematous wall with multiple hypertrophied trabeculae along its walls. The patient was administered anti-tubercular treatment. At the end of this treatment regimen, a repeat RGU-VCUG will be performed and decision regarding urethroplasty and further management will be planned depending upon the presence of any remaining fistulas or strictures involving the urethra.Conclusions‘Watering can penis’ as a result of penile TB is a very rare clinical entity. The differential diagnoses of a ‘watering can penis’ should be kept in mind in the evaluation of these patients. RGU and VCUG evaluation is an important conventional imaging modality used in the evaluation of urethral strictures and fistulas in case of ‘watering can penis’.

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Section: Discussionmentioning

confidence: 99%

Tuberculosis Penis with ‘Watering Can Penis’ Appearance: Report of a Rare Case with Retrograde Urethrography and Voiding Cystourethrography Findings

Mayilvaganan¹,

Srinivas²,

Reddy³

et al. 2016

Pol J Radiol

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“…Although once considered entirely benign and extremely rare, accumulating reports have shed light on its malignant propensity [ 3 , 4 ]. The clinical course of PKMB is chronic and associated with recurrences after treatment [ 5 ]. In isolated cases managed with local agents like 5-FU, full recovery has been reported [ 6 , 7 ].…”

Section: Discussionmentioning

confidence: 99%

Malignant Transformation of Long-Standing Pseudoepitheliomatous Keratotic and Micaceous Balanitis (PKMB) Presenting as Urethral Obstruction

Gkekas,

Tsikopoulos,

Katsimperis

et al. 2024

Cureus

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Hereby, we present a rare case of malignant transformation in a long-standing case of pseudoepitheliomatous keratotic and micaceous balanitis (PKMB), which typically affects older men. PKMB presents as whitish or silvery keratotic plaques on the glans and can remain stable for years, leading to potential confusion regarding its progression. The patient in this case experienced urinary obstruction due to tumorous ingrowth, prompting an investigation. Despite previous treatments, including fluorouracil (5-FU) and cryoablation, the lesion persisted, eventually growing in size and becoming malodorous. Initial biopsy showed PKMB without malignancy, but subsequent deeper biopsy revealed verrucous carcinoma. The patient underwent glansectomy and reconstruction with a full-thickness skin graft, achieving a disease-free state postoperatively. The paper underscores the importance of thorough investigation for malignancy in PKMB cases, the possibility of deeper malignancy missed by superficial biopsy, and the need for early diagnosis to enable organ-sparing treatments.

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“…Pseudoepitheliomatous hyperplasia is a rare penile pathology considered a distinct clinical entity by some, while others view it as a subset of verrucous carcinoma with premalignant potential. 1 , 2 Given the lack of data and sparse literature regarding this unusual entity, pseudoepitheliomatous hyperplasia continues to pose a challenging clinical problem with uncertain prognosis. 3…”

Section: Introductionmentioning

confidence: 99%

Large Penile Mass With Unusual Benign Histopathology

Johnson

Voznesensky

VerLee

2015

Urology Case Reports

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Pseudoepitheliomatous hyperplasia is an extremely rare condition presenting as a lesion on the glans penis in older men. Physical exam without biopsy cannot differentiate malignant from nonmalignant growth. We report a case of large penile mass in an elderly male with a history of lichen sclerosis, highly suspicious for malignancy. Subsequent surgical removal and biopsy demonstrated pseudoepitheliomatous hyperplasia, an unusual benign histopathologic diagnosis with unclear prognosis. We review the literature and discuss options for treatment and surveillance.

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Pseudoepitheliomatous keratotic and micaceous balanitis

Cited by 17 publications

References 11 publications

Tuberculosis Penis with ‘Watering Can Penis’ Appearance: Report of a Rare Case with Retrograde Urethrography and Voiding Cystourethrography Findings

Tuberculosis Penis with ‘Watering Can Penis’ Appearance: Report of a Rare Case with Retrograde Urethrography and Voiding Cystourethrography Findings

Malignant Transformation of Long-Standing Pseudoepitheliomatous Keratotic and Micaceous Balanitis (PKMB) Presenting as Urethral Obstruction

Large Penile Mass With Unusual Benign Histopathology

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