Surgical Excision of Multiple Penile Syringomas With Scrotal Flap Reconstruction

Elbert E. Vaca, MD; Gerhard S. Mundinger, MD; Jonathan A. Zelken, MD; Gulsun Erdag, MD; Michele A. Manahan, MD

Disclosures

ePlasty. 2014;14 

In This Article

Abstract and Introduction

Abstract

Objective: Penile syringomas are rare lesions usually occurring in isolation. We report the excision and reconstruction of multiple synchronous penile shaft syringomas with local scrotal flaps.

Methods: We report a rare case of excision of multiple penile syringomas and reconstruction with scrotal flaps in a 29-year-old man.

Results: Penile syringomas were excised and reconstructed with scrotal flaps in a single-stage procedure.

Conclusions: In addition to providing wound coverage, this reconstructive option allowed for excellent functional results with regard to shaft alignment and erectile function, and it should be considered in the reconstructive armamentarium for penile shaft lesions.

Introduction

Syringomas are thought to be benign neoplasms of eccrine gland origin.[1] Friedman and Butler[2] proposed a classification system consisting of 4 principal clinical variants of syringoma: a localized form, a familial form, a form associated with Down's syndrome, and a generalized form that encompasses multiple eruptive syringomas. Some evidence suggests that eruptive forms represent reactive hyperplasia to insults such as waxing.[3,4]

Syringomas are more common in women and tend to appear during puberty or in early adulthood, most commonly localizing to the lower eyelid, but are also common on the upper cheek, upper chest, axilla, abdomen, and vulva.[5–7] Penile involvement is rare—only 12 cases have been reported to date—with a tendency to present as isolated lesions during early adolescence, most commonly located over the base of the shaft.[5,8–17] We report the first described surgical excision and reconstruction of multiple penile syringomas.

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