Korean J Urol.  2009 Jun;50(6):619-621. 10.4111/kju.2009.50.6.619.

Giant Fibroepithelial Polyp of the Glans Penis

• Kim YD
• Lee MH
• Kim JM
• Kim YH
• Koh ES

• KMID: 1989798
• DOI: http://doi.org/10.4111/kju.2009.50.6.619

Abstract

Fibroepithelial polyps are a benign neoplasm of mesodermal origin that usually occur in the urinary tract. However, a giant fibroepithelial polyp of the glans penis is very rare and is strongly linked with long-term condom catheter use. In this article, we report a case of a 45-year-old man who presented with a giant fibroepithelial polyp originating from the glans penis. Physical examination showed a 6x3 cm sized mass lesion overlying the ventral surface of the glans near the urethral meatus without urethral communication. For the previous 10 years, the patient had been required to use a condom catheter secondary to paraplegia sustained during a T12-L1 spinal cord injury. He was successfully treated by wide local excision of the mass and suprapubic cystostomy placement. There was no evidence of recurrence after 12 months of follow-up.

Keyword

Fibroepithelial neoplasms; Condoms; Penis

MeSH Terms

Catheters
Condoms
Cystostomy
Follow-Up Studies
Humans
Male
Mesoderm
Middle Aged
Neoplasms, Fibroepithelial
Paraplegia
Penis
Physical Examination
Polyps
Recurrence
Spinal Cord Injuries
Urinary Tract

Figure

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  Fig. 1 Gross findings. A giant fibroepithelial polyp is observed at the ventral side of the glans penis.

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  Fig. 2 Postoperative gross findings. The entire polyps are removed from the penis.

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  Fig. 3 Microscopic findings. (A) A polyp with normal-appearing squamous epithelium and subepithelial loose connective tissue (H&E, ×10). (B) Ziehl-Neelsen staining reveals mast cells (arrows) in the loose connective tissue (×400).

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