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Microscopic Cyst Resection for the Treatment of Patients Diagnosed with Epididymal Cyst

Microscopic Cyst Resection for the Treatment of Patients Diagnosed with Epididymal Cyst

Published on: March 31, 2023

Penile epidermal inclusion cyst.

M El-Shazly¹, A Ghobashy, A Allam

¹Departments of Urology and Pathology, Farwaniya Hospital, Ardiya 92400, Kuwait.

Case Reports in Urology

|June 14, 2012

Summary

This summary is machine-generated.

An epidermal inclusion cyst, a rare complication of circumcision, can lead to stone and urethrocutaneous fistula formation over time. Surgical excision and fistula repair offer successful treatment for this condition.

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Area of Science:

Urology
Dermatology
Surgical Pathology

Background:

Epidermal inclusion cysts are benign skin lesions that can arise from various causes.
Complications following circumcision, though uncommon, require thorough investigation and management.
Delayed diagnosis of post-circumcision complications can lead to significant morbidity.

Observation:

A 32-year-old male presented with a long-standing epidermal inclusion cyst.
The cyst was a neglected complication of a prior circumcision, resulting in the formation of urinary stones and a urethrocutaneous fistula.
Clinical examination revealed the presence of stones within the cyst and a fistula connecting the urethra to the skin.

Findings:

Complete surgical excision of the epidermal inclusion cyst was successfully performed.
Simultaneous repair of the urethrocutaneous fistula was achieved.
Histopathological examination of the excised cyst confirmed the diagnosis of epidermal inclusion cyst.

Implications:

This case highlights the potential for neglected circumcision complications to manifest years later.
Early recognition and management of post-circumcision issues are crucial to prevent severe complications like fistulas and stone formation.
Surgical intervention remains the definitive treatment for symptomatic epidermal inclusion cysts and associated fistulas, with favorable outcomes.