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April 1975

Urethral Diverticulum Presenting as a Penile Cyst

Author Affiliations

USAF; Augusta, Georgia

Arch Dermatol. 1975;111(4):523-524. doi:10.1001/archderm.1975.01630160113015

To the Editor.—  Penile nodulocystic lesions are rarely mentioned in standard dermatologic texts. Reports of the occurence of such lesions are also rare in the dermatologic literature. The purpose of this report is to describe a patient with a urethral diverticulum, an entity that to our knowledge has not been described previously in recent dermatologic literature.

Report of a Case.—  A 16-year-old uncircumcised youth came to the Dermatology Clinic for evaluation of a urethral discharge of three day's duration and a penile mass. The penile lesion was said to have been present for approximately three years. It did not change in size with micturition, although the patient did have symptoms of recurrent mild urethritis. The patient denied having had previous urologic instrumentation or neurologic dysfunction.Physical examination showed there was a yellow-green, purulent urethral discharge. A Gram stain of the discharge disclosed numerous Gramnegative intracellular diplococci compatible with Neisseria gonorrhoeae

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