Cavernous hemangioma of the glans penis: Concomitant surgical excision with circumcision in an uncircumcised patient

Abstract

Hemangiomas are usually superficial, localized, and commonly involve the head or neck, although up to 30% may be seen in the liver. Hemangioma involving the glans penis is extremely rare. A patient with red swelling on the glans penis was admitted for circumcision to our clinic. We performed concomitant surgical excision together with circumcision, and presented the advantages of surgical treatment in such a case.

Concealed Glans Hemangioma: Rare Presentation

“…Hemangiomas are most common benign lesions resulting from proliferation of immature capillary vessels [1] . It is rarely found in genitalia and constitutes only 1-2 % of all hemangiomas [4] .…”

“…Treatment decision has to be taken into consideration based on location of lesion, size, cosmetic outcome and cost of treatment [7] . In adults choice of treatment in glans penis are surgical excision, laser therapy, sclerotherapy, electrofulgration and cryotherapy [1] .…”

“…Sclerotherapy is less expensive and more readily available [8] but requires repeated injections and may cause cutaneous necrosis, ulceration and hypopigmentation in intra lesional therapy [1] .…”

“…Hemangioma of glans penis is extremely rare [1] and reported scarcely in available literature [2] . It usually present in first two decade of life [3] , usually asymptomatic or present as swelling or papules on glans or due to it complication [2,4,5,6] .…”

“…Various procedures can be used for treatment of hemangioma as there is no gold standard treatment modality because of its rarity [1,3] . We are reporting concealed hemangioma of glans penis in elderly presenting as voiding lower urinary tract symptoms due to severe phimosis treated by concomitant surgical excision with circumcision.…”