A subpubic cartilaginous cyst causing neurological and sexual symptoms in a 69-year-old man.

INTRODUCTION

Subpubic cartilaginous cysts (SCCs) are rare.

AIM

This is the first reported case of a male patient presenting with neurological and sexual symptoms due to an SCC.

METHOD

We describe the clinical history of a patient who reported neuralgic pain, numbness in the groin and base of his penis, and loss of sexual function.

RESULTS

A magnetic resonance imaging revealed the presence of an SCC with associated mass effect. A conservative approach was adopted and within 12 months, the cyst had decreased in size and his symptoms had improved.

CONCLUSIONS

Men who present with erectile dysfunction and neurological symptoms merit a thorough assessment including appropriate investigation to exclude organic pathology.