Abstract
The location of the apocrine hydrocystoma in the penis region is rare. We present a case where we evaluated the erectile function of a patient presenting such an asymptomatic formation. We assessed the psychogenic component of the erectile dysfunction based on the association of the somatic component of the cyst with the patient’s inability to focus on sexual intercourse. The fear of traumatization of the cyst during sexual intercourse was considered as a triggering factor of the chain of insufficient or unsuccessful erections, and the sexual performance anxiety as a factor in maintaining this erectile dysfunction. Apparently, an organic cause induced an erectile dysfunction, through non-organic (predisposition, triggering and maintenance) mechanisms.
Highlights
IntroductionApocrine hydrocystoma is a benign cystic tumor with a more frequent localization on the face zone, ears, scalp, chest, shoulders, or vulva [1]
We present a case where we evaluated the erectile function of a patient presenting such an asymptomatic formation
We assessed the psychogenic component of the erectile dysfunction based on the association of the somatic component of the cyst with the patient’s inability to focus on sexual intercourse
Summary
Apocrine hydrocystoma is a benign cystic tumor with a more frequent localization on the face zone, ears, scalp, chest, shoulders, or vulva [1]. At the same time, reported cases do not refer to the evaluation of erectile function of patients presenting such formations in the penis region, but only to the fact that they are asymptomatic, grow slowly in size and can reach a diameter of 1 cm and more [2]. By presenting the case and literature review, the authors have proposed to explain the mechanism of occurrence of erectile dysfunction in patients with benign penile cystic formations
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