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A pilonidal sinus on the penis presenting with erectile dysfunction.

J S Kalsi1, M Arya, A Freeman

  • 1The Institute of Urology and Nephrology, London, UK. j.kalsi@ucl.ac.uk

Scandinavian Journal of Urology and Nephrology
|June 19, 2004
PubMed
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A rare case of pilonidal sinus on the penis caused erectile dysfunction. This finding highlights an unusual presentation of a condition typically affecting the lower back.

Area of Science:

  • Urology
  • Dermatology
  • Andrology

Background:

  • Pilonidal sinus is a chronic inflammatory condition.
  • It commonly affects the sacrococcygeal region.
  • Penile involvement is exceptionally rare.

Observation:

  • A patient presented with new-onset erectile dysfunction.
  • Physical examination revealed a pilonidal sinus located on the penis.
  • The sinus tract was confirmed via diagnostic imaging.

Findings:

  • The penile pilonidal sinus was identified as the cause of erectile dysfunction.
  • Histopathological examination confirmed the diagnosis of pilonidal sinus.
  • Successful surgical management of the sinus resolved the erectile dysfunction.

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Implications:

  • This case expands the known anatomical locations for pilonidal sinus disease.
  • It underscores the importance of considering atypical presentations in urological and andrological practice.
  • Further research may explore the pathogenesis of penile pilonidal sinus.