Department of Surgery, Paediatric Surgery Unit, Lagos University Teaching Hospital, Idi-Araba, Lagos, Nigeria.
Department of Anatomic and Molecular Pathology Lagos University Teaching Hospital, Lagos, Nigeria.
Afr J Paediatr Surg. 2023 Jan-Mar;20(1):80-82. doi: 10.4103/ajps.ajps_142_21.
Cysts of the prepuce are rare, and documented reports from the English literature are mostly from Asia. Presentations in children are worrisome to the parents. We report a case of a preputial cyst occurring in a neonate who was brought to our facility due to parental anxiety. After a thorough clinical evaluation, a freehand circumcision technique was performed which allowed exposure of the full extent of the cyst, the external urethral meatus and the glans, thus ensuring complete excision and minimising the risk of injury to the adjoining structures. We postulate that preputial cysts are rare in Africa due to the universality of circumcision, which is one of the options of treatment. Preputial cysts are benign foreskin cystic lesions that can be effectively treated with circumcision. This is probably the first reported case of a benign epithelioid preputial cyst from Africa. The paucity of reported cases may be due to the universal practice of circumcision in most of Africa.
包皮囊肿很少见,英文文献中的已有报道主要来自亚洲。儿童的表现令父母担忧。我们报告了一例新生儿包皮囊肿的病例,因父母焦虑,患儿被带到我们医院。经过彻底的临床评估,采用了徒手环切术,充分暴露了囊肿、尿道外口和龟头,从而确保了完全切除,并最大限度地减少了毗邻结构损伤的风险。我们推测,由于普遍进行割礼,非洲包皮囊肿很少见,割礼是治疗方法之一。包皮囊肿是良性的包皮囊性病变,可以通过割礼有效治疗。这可能是非洲首例报道的良性上皮样包皮囊肿。报告的病例很少,可能是由于非洲大多数地区普遍进行割礼。