Gonorrhea in the median raphe of the penis is seldom reported. Bernfeld in a recent article presents a case report and a review of the world literature on gonococcal infections and structural anomalies of the median penoscrotal raphe, with an extensive bibliography.
Report of Case
A 25-year-old Caucasian soldier was seen because of a somewhat tender swelling on the ventral aspect of the penis, with discharge of pus, of four days' duration, onset two days following sexual intercourse. There was no urethritis. Examination revealed a small, poorly outlined, tender, red swelling in the median raphe of the penis near its middle. Creamy pus could be expressed from a broad funnel-shaped opening into a blind pouch in the area of the swelling, smears of which revealed gram-negative intracellular diplococci, morphologically typical of Neisseria gonorrheae. There had never been any previous inflammation or discharge, nor any passage of urine from this area.
SIDNEY J. Gonorrhea in Median Raphe of Penis. Arch Dermatol. 1963;87(3):395. doi:10.1001/archderm.1963.01590150111025
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