Treatment of Divided Nevus of the Penis with Circumcision and Free Inner Prepuce Grafting

Abstract

Summary:Divided nevus of the penis is exceedingly rare. Desruelles et al. reported the first divided nevus on the penis in 1998, and, since then, only 17 cases have been reported in the English language literature. This article presents the successful excision and histopathologic evaluation of the nevi. The glans was reconstructed by a full-thickness skin graft using remnant foreskin. Six months after the operation, the patient showed no deformity of the glans and no loss of sensation. The lesion on the glans can be successfully reconstructed using the remnant foreskin with satisfactory aesthetic and functional outcome. This method is desirable with minimal donor-site morbidity and inconspicuous donor-site scars.

Divided or kissing nevus of the penis: A new case with dermoscopic findings

“…The eyelids are the most frequent location . Only 21 cases of kissing nevus of the penis have been reported to date . Their clinical, dermoscopic, and histopathologic features and management are summarized in Table .…”

“…Multiple patterns and blue or white colors may be observed in more‐advanced lesions . Although no treatment is required if the divided nevus has benign features, surgical excision and reconstruction by skin grafting and laser treatment have been reported but are not routinely recommended …”

“…Divided nevi occur only on contiguous parts of the body that are separated during embryologic development. 4 The eyelids are the most frequent location. 1 Only 21 cases of kissing nevus of the penis have been reported to date.…”

“…1 Only 21 cases of kissing nevus of the penis have been reported to date. [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15] Their clinical, dermoscopic, and histopathologic features and management are summarized in Table 1.…”

“…18 Multiple patterns and blue or white colors may be observed in more-advanced lesions. 18 Although no treatment is required if the divided nevus has benign features, 1 surgical excision and reconstruction by skin grafting 4 and laser treatment 10 have been reported but are not routinely recommended. 19 In conclusion, we report a new case of divided or kissing nevus of the penis with a benign symmetric globular pattern on dermoscopic examination that evolved into a globular-reticular pattern during followup.…”