Abstract
Penile masses are a concerning finding for both patient and clinician upon initial presentation. There is a wide differential for penile masses from the benign (fibrous plaques, cysts, ulcerative lesions, benign penile pearly papules, etc.) to more concerning malignant lesions. A proper history and physical is the first step to determining the etiology of the mass and any future clinical interventions. In this paper, we review a case of a 73-year-old male who is found to have an enlarging mass during work-up for possible placement of inflatable penile prosthesis. Fortunately, the mass was determined to be a benign epidermoid cyst presenting thirty years after reconstruction for Peyronie's disease using dermal penile skin graft. With this unique presentation we review the scant literature on penile mass formation following Peyronie's repair.
Highlights
Peyronie’s disease is a common urologic entity with multiple options for definitive surgical repair
Case presentation A 73-year-old man was referred to our clinic in surgical consultation for possible placement of inflatable penile prosthesis due to progressively worsening erectile dysfunction
Part of the treatment algorithm includes a number of options for grafting. It is well-known that skin grafts carry a greater risk of transplanting apocrine glands and hair follicles to the donor site
Summary
Peyronie’s disease is a common urologic entity with multiple options for definitive surgical repair. Case presentation A 73-year-old man was referred to our clinic in surgical consultation for possible placement of inflatable penile prosthesis due to progressively worsening erectile dysfunction At his initial visit, he was found to have a non-tender rapidly growing mass in the distal penile shaft, which prohibited him from using his vacuum erection device. Operative and clinical notes from that period could not be obtained, though the patient reported the procedure included plaque excision and use of a dermal penile skin graft. Following the procedure, he only reported mild residual penile desensitization. Upon close follow-up, his penile curvature is stable, as determined by clinical exam and he has resumed using a combination of phosphodiesterase inhibitors and a vacuum erection device
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