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[A toddler with a swelling of his penis]

P Staps1, C C J M Smeets

  • 1Elisabeth-TweeSteden ziekenhuis, afd. Kindergeneeskunde, Tilburg.

Insights

Smegma retention cysts, a common finding in young boys, present as small penile swellings. These cysts arise from natural foreskin separation and are typically benign.

Area of Science:

  • Pediatric Urology
  • Dermatology
  • Adolescent Medicine

Background:

  • Smegma retention cysts are benign, acquired lesions that arise from the accumulation of smegma.
  • Understanding the etiology of penile cysts is crucial for accurate diagnosis and management in pediatric patients.

Observation:

  • A 4-year-old male child presented with a palpable, yellowish subcutaneous penile swelling measuring 0.8 x 1.5 cm.
  • The lesion was asymptomatic and noted incidentally.

Findings:

  • The clinical presentation was consistent with a smegma retention cyst.
  • Histopathological examination, if performed, would confirm the cystic nature and keratinous contents.

Implications:

  • Smegma retention cysts are a normal physiological finding in uncircumcised boys and require no specific treatment.
  • Accurate diagnosis prevents unnecessary interventions and parental anxiety regarding penile lesions.

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