Median raphe cysts in men. Presentation of our experience and literature review

Abstract Objectives To present our experience with the diagnosis and treatment of median raphe cysts treated in our department in the last 25 years. Material and method We conducted a retrospective study of 28 men with median raphe cysts who underwent surgery in our department from June 1990 to Marc...

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Published in:Actas urologicas españolas 2017-04, Vol.41 (3), p.205-209
Main Authors: Navalón-Monllor, V, Ordoño-Saiz, M.V, Ordoño-Domínguez, F, Sabater-Marco, V, Pallás-Costa, Y, Navalón-Verdejo, P
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Child
Child, Preschool
Cysts - pathology
Cysts - surgery
Embryonal residues
Genital Diseases, Male - pathology
Genital Diseases, Male - surgery
Humans
Infant
Infant, Newborn
Male
Median raphe cysts
Middle Aged
Penile Diseases - pathology
Penile Diseases - surgery
Quistes de rafe medio
Restos embrionarios
Retrospective Studies
Scrotum
Urology
Young Adult
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Summary:Abstract Objectives To present our experience with the diagnosis and treatment of median raphe cysts treated in our department in the last 25 years. Material and method We conducted a retrospective study of 28 men with median raphe cysts who underwent surgery in our department from June 1990 to March 2015. We analyzed the age of presentation, reason for consultation, clinical manifestations, histological findings, treatment and outcome after exeresis. Results The majority of the patients (22; 79%) were asymptomatic and consulted for the esthetic defect. Four cases (14%) presented urinary abnormalities, and 2 cases (7%) reported discomfort during sexual intercourse. In all cases, the treatment consisted of surgical extirpation of the cysts, with excellent esthetic and functional results and no lesion recurrence in any of the patients during a mean follow-up of more than 10 years. The most common histological type was the transitional cell type in 15 cases (54%), followed by the mixed type (transitional and squamous) in 11 cases (39%). One case (6%) was pure squamous type, and in another case (6%) the epithelium was glandular. Conclusions Median raphe cysts are an uncommon type of disembryoplasia that can occur in any location of the median raphe, from the balanic meatus to the edges of the anus. These cysts are generally asymptomatic and their treatment of choice is surgical extirpation.
ISSN:2173-5786
2173-5786
1699-7980
DOI:10.1016/j.acuroe.2017.02.010