Volume : VII, Issue : IX, September - 2018

PENILE MEDIAN RAPHE CYSTS: serial retrospective analysis.

Tomar Vikas Singh, Dar Bilal Ahmad, Chhabra Mahaveer Kumar

Abstract :

INTRODUCTION: Median raphe cysts are very rare  midline cysts resulting from anomalies in the development of the urethral groove and may  occur anywhere in midline from the urinary meatus to anus. It was first described in detail by Mermet in1895.In general the lesions are asymptomatic and does not interfere with urinary or sexual function. We present 7 cases of penile median raphe cyst including 1case of exceptionaly  large prepucial cyst (largest size ever reported) on account of there  rarity and interesting histological findings.METHOD:The medical records of patients who were diagnosed with median raphe cysts between January 2001 and December 2015 were reviewed retrospectively to include 7cases. Age of patients varied from 3 to50 years. All  patients presented with asymptomatic, slow growing,  non tender, soft cystic swelling over glans penis measuring 1.5 x1 to2.5 x 2cm size except in a case of 50 year male who presented  with  large prepucial swelling of 6x3cm,smooth,cystic,non tender  which was present since childhood and had gradually enlarged  leading to difficulty in voiding and  performing intercourse. All patients of glanular swelling were managed with excisional biopsy while circumcision combined with cyst exicison done in case of prepucial swelling. RESULT: All  patients had uneventful post operative period and were discharged from hospital on same day. HPE revealed cystic lesion   lined partly by stratified squamous epithelium, partly by transitional epithelium as well as pseudostratified columnar epithelium suggestive of median raphe cyst. Follow up period ranged from 6 to 36 months with no recurrence or any other unexpected outcome in any case.CONCLUSION: Median raphe cysts are rare, benign and usually asymptomatic except in case where they attain  very large size. Local examination is sufficient to make a diagnosis in majority of cases, and complete surgical excision is  necessary to obtain good cosmetic results without recurrence.

 

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Article: Download PDF   DOI : 10.36106/ijsr  

Cite This Article:

Tomar Vikas Singh, Dar Bilal Ahmad, Chhabra Mahaveer Kumar, PENILE MEDIAN RAPHE CYSTS: serial retrospective analysis., INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH : Volume-7 | Issue-9 | September-2018

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