Sometimes, I
get male children referred to me for cyst in prepuce. Some doctors also would have
already advised antibiotics, by that time.
On
examination of the male children around 3-5 years, a fixed small swelling of
about 3-4 millimeter with hard consistency, situated mostly towards the corona
of glans penis would be noticed. Mostly, the mucosa of prepuce would be found
adherent to the glans penis; the prepuce would not be reduced easily.
This occurs mostly
after mild inflammation of the prepuce, so that the inner layer of prepuce
becomes adherent to the glans penis. The smegma cannot come out and solidify to
from concretion. This smegma concretion feels like a small hard mass, when
palpated over the prepuce.
In these
cases, we apply a little surface anesthetic and gentle pull the foreskin down and
clean the smega, apply some local antibiotic ointment and advice parents to
gentle clean it regularly.
So, these
are not the cysts.
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