Congenital prepubic sinus

Eroğlu, Egemen; Özen, Mehmet Ali; Gündoğdu, Gökhan

doi:10.1136/archdischild-2015-310205

Cited by 2 publications

(2 citation statements)

References 5 publications

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“…The results are generally favorable, and excision is curative. 8,9,10 Regarding the surgical procedure, we would like to emphasize that cystoscopy prior to the use of methylene blue as a marker was an economical and simple alternative from the technical point of view that allowed us to exclude communication of the lesion with the urological pathway. Other authors have used serial voiding cystourethrography for this purpose, 10 but we believe that it is an unnecessary source of radiation and can be substituted with our technique.…”

Section: Discussionmentioning

confidence: 99%

Congenital Prepubic Sinus as a Variant of Incomplete Urethral Dorsal Duplication: A Case Report with New Insights into its Immunohistochemical Characterization and a Comprehensive Literature Review

Montero

Anaut²,

González

et al. 2022

Int J Surg Pathol

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Congenital prepubic sinus (PS) is an extremely infrequent malformation consisting of a prepubic fistulous tract that classically does not communicate with the genitourinary system. Previous studies centered on its immunohistochemical characterization have shown inconsistent results, and the etiology has not been clarified. We present the case of a 2-year-old male who presented since birth with a fistulous orifice on the dorsum of the penis. He had no associated symptoms. Under general anesthesia, the fistulous tract was explored, and methylene blue was instilled through it. After cystoscopically verifying the absence of communication with the urethra, a complete resection of the lesion was performed. The immunohistochemical study showed positivity for low and high molecular weight keratins and a transitional pattern for keratin 7 and GATA3, with positivity at cul de sac level and negativity at proximal level. These findings suggest that this lesion is an incomplete dorsal duplication variant.

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Section: Discussionmentioning

confidence: 99%

Congenital Prepubic Sinus as a Variant of Incomplete Urethral Dorsal Duplication: A Case Report with New Insights into its Immunohistochemical Characterization and a Comprehensive Literature Review

Montero

Anaut²,

González

et al. 2022

Int J Surg Pathol

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“…Eroglu et al reported an incidental diagnosis of CPS in a 7-year-old boy during circumcision. They stated that CPS can be overlooked due to its location between the skin folds and that fluid discharge or erythema at the suprapubic area should raise concern about CPS [5].…”

Section: Discussionmentioning

confidence: 99%

Congenital prepubic sinus presenting with purulent discharge after circumcision: a case report

et al. 2019

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Background Congenital prepubic sinus is a rare anomaly found in the midline of the lower abdomen. Congenital prepubic sinus is usually asymptomatic in neonates, and a diagnosis is often achieved later in life after spontaneous extrusion of purulent material from the pre-existing hole in the pubic region. We present a case of congenital prepubic sinus presenting with purulent discharge after circumcision. Case summary A 4-year-old Caucasian boy presented to our urology out-patient clinic with purulent discharge from the distal part of the dorsum of his penis. He had a history of circumcision performed at a different center, 6 months ago. His parents stated that although various antibiotics were used, the purulent discharge continued for 6 months and the child had no complaints before circumcision. His condition was reported as superficial dorsal venous thrombosis, known as penile Mondor disease, in magnetic resonance imaging that was performed in the previous hospital. A physical examination revealed a small pinhole lesion at the distal part of his penis and a rigid cylindrical tube extending to the proximal side of his penis. We performed fistulography by injecting contrast material through a small angiocatheter and confirmed the diagnosis of prepubic sinus. Surgical exploration was performed and a long sinus, apparently ending as a fibrous tract at the anterior surface of his pubic symphysis, was found and resected. Conclusions Before congenital prepubic sinus surgery, it is critically important to rule out penile Mondor disease and the possibility of a circumcision complication (especially infective complications) mimicking congenital prepubic sinus.

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Congenital prepubic sinus

Cited by 2 publications

References 5 publications

Congenital Prepubic Sinus as a Variant of Incomplete Urethral Dorsal Duplication: A Case Report with New Insights into its Immunohistochemical Characterization and a Comprehensive Literature Review

Congenital Prepubic Sinus as a Variant of Incomplete Urethral Dorsal Duplication: A Case Report with New Insights into its Immunohistochemical Characterization and a Comprehensive Literature Review

Congenital prepubic sinus presenting with purulent discharge after circumcision: a case report

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