Median Raphe Cysts of the Scrotum and Perineum Presenting with Recurrent Infection

Jun Nyung Lee; Hyun Tae Kim; Sung Kwang Chung

doi:10.14777/kjutii.2014.9.2.119

Journal List > Korean J Urogenit Tract Infect Inflamm > v.9(2) > 1059941

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Lee, Kim, and Chung: Median Raphe Cysts of the Scrotum and Perineum Presenting with Recurrent Infection

Case Report

Korean J Urogenit Tract Infect Inflamm 2014;9(2):119-121.

Published online: 17 October 2014

DOI: https://doi.org/10.14777/kjutii.2014.9.2.119

Median Raphe Cysts of the Scrotum and Perineum Presenting with Recurrent Infection

Jun Nyung Lee, Hyun Tae Kim, Sung Kwang Chung

Department of Urology, Kyungpook National University School of Medicine, Daegu, Korea

Correspondence to: Hyun Tae Kim Department of Urology, Kyungpook National University Hospital, 130, Dongdeok-ro, Jung-gu, Daegu 700-721, Korea Tel: +82-53-420-5843, Fax: +82-53-421-9618 E-mail: urologistk@knu.ac.kr

Received 29 June 201417 July 2014 Accepted 17 July 2014

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Median raphe cysts of the perineum are rare congenital anomalies of the male genitalia, which form during embryological development, and can be found in the midline from the distal penis to the perineum. However, the incidence of median raphe cyst is likely under-reported and under-recognized. We report on the case of a median raphe cyst extending from the scrotum to the perineum with recurrent infection and purulent discharge in a 28-year-old man, which first developed at the age of 5 years. We believe it is important that urologists recognize median raphe cysts and have knowledge of their management in order to provide appropriate information to patients.

Keywords: Congenital abnormalities, Cysts, Scrotum, Perineum, Infection

REFERENCES

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Fig. 1.

(A) The scrotum and the perineum appear to have an almost normal shape except for the fistula opening (arrow) on the mid-scrotum. (B) After injection of normal saline through the fistula opening, several 5-7 mm canalized cystic lesions are found from the mid portion of the scrotum to the perineum.

Fig. 2.

(A) Intraoperative view of the midline cystic structures between the dartos fascia and dermis in the midline between the scrotum and perineum. (B) Histological analysis shows that the inner layer of the canal-like cysts is composed of squamous epithelium (H&E, ×40).

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