Giant median raphe prepuceal cyst in an elderly male

Abstract

Median raphe cysts are midline developmental cysts that can be found anywhere from anus to urinary meatus. Commonly reported sites of their occurrence are the shaft of the penis & the glans of penis. Their presence in prepuce is extremely rare. Mucus cyst of the penis, genitoperineal cyst of the medium raphe, parameatal cyst, hydrocystoma and apocrine cyst adenoma of the penile shaft, have been considered synonymous by most of the authors publishing their case reports. The present case is 76 years old, married male having 04 sons & 03 daughters, presented to Surgical OPD with history of swelling at the tip of penis since childhood that has rapidly progressed in last 06 months to big size. Examination there was a 6 cm by 5 cm cystic swelling hanging from the prepuce in the midline. The patient was subjected to Circumcision along with total excision of the cyst under local anaesthesia. Histopathology revealed benign prepuceal cyst. There was no recurrence till 06 months follow up. The literature review revealed no such big sized prepuceal cyst in such an extreme age.