Congenital multiple median raphe cysts of the penis and scrotum

Abstract

Congenital multiple median raphe cystsA Patrizi et al.

A serpiginous lesion of scrotum

“…They result from “tissue trappings” during the intra-uterine process of closure of urethral or genital folds [ 4 ]. Their clinical presentation is usually as a flesh to yellow solitary cyst, multiple cysts, or canal-like lesions in the ventral midline part of the penis and perineum [ 2 ]. The penile shaft is the most frequent location, followed by subcoronal, scrotal and perineal areas [ 1 ].…”

“…Their diagnosis in children is probably underreported with a median age at diagnosis of 24,6 years [ 5 ]. In fact, as cysts do not connect with urethra, up to 75% of cases are asymptomatic and infection is a rare complication [ 2 , 6 ]. Other described complications are the cysts rupture and sexual interference in adulthood 4.…”

“…Median raphe cysts are an embryologic fusion abnormality of the male genitalia that develop along the median penile raphe from the meatus to the perineum [ 1 ]. Their clinical presentation is usually in the form of a watery solitary cyst, multiple cysts, or canal-like lesions in the ventral midline part of the penis and perineum [ 2 ]. Their diagnosis in childhood is rare, probably because up to 75% of cases are asymptomatic [ 2 – 4 ].…”

“…Their clinical presentation is usually in the form of a watery solitary cyst, multiple cysts, or canal-like lesions in the ventral midline part of the penis and perineum [ 2 ]. Their diagnosis in childhood is rare, probably because up to 75% of cases are asymptomatic [ 2 – 4 ]. Therefore, patients often present during second to third decades of life [ 5 ].…”

Median Raphe Cysts: A Harmless Rarity?

“…MRCs are uncommon benign congenital lesions of the male genitalia, present anywhere from the perianal region to the scrotum and distal penis, being considered congenital defects in the embryologic development. 1,2 Diagnosis in children is rare, although probably underreported considering up to 75% are asymptomatic. 1 According to literature, most MRCs are found along the penile shaft and only a few cases report scrotum or perineal raphe cysts.…”