A rare case of penile schwannomatosis presenting with painful nocturnal penile tumescence.

IF 2.4 3区 医学 Q2 ANDROLOGY
Chan Ming Tow, Jonathan Tang, Chan Ming Chun, Joe Lee King Chien
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引用次数: 0

Abstract

Background: Penile schwannoma is a rare tumor. They commonly present as an asymptomatic, painless and slow growing mass. Other presentations include sexual dysfunction, most commonly dyspareunia, followed by erectile dysfunction, abnormal penile curvature or pain with ejaculation.

Case presentation: A 26-year-old male presented atypically with painful nocturnal penile tumescence, along with multiple nodules over the dorsal penis. Excision of multiple penile tumors under general anaesthesia was performed and histopathologic examination revealed benign schwannoma.

Conclusion: Our hypothesis is that the schwannoma lies along the axis of the dorsal penile nerve, and compression of this nerve occurs during his erection causing pain. However, there are limited presentations of painful erections in penile schwannomas, and we hope that future studies can help confirm this theory.

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一例罕见的阴茎神经鞘瘤病表现为疼痛的夜间阴茎肿胀。
背景:阴茎神经鞘瘤是一种罕见的肿瘤。它们通常表现为无症状、无痛和缓慢生长的肿块。其他表现包括性功能障碍,最常见的是性交困难,其次是勃起功能障碍,阴茎弯曲异常或射精痛。病例介绍:一名26岁男性,表现为夜间阴茎疼痛性肿大,并伴有阴茎背侧多发结节。在全身麻醉下切除多个阴茎肿瘤,组织病理检查显示为良性神经鞘瘤。结论:我们的假设是神经鞘瘤位于阴茎背神经轴上,在勃起时压迫该神经引起疼痛。然而,阴茎神经鞘瘤中勃起疼痛的表现有限,我们希望未来的研究可以帮助证实这一理论。
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来源期刊
Basic and Clinical Andrology
Basic and Clinical Andrology Medicine-Urology
CiteScore
3.50
自引率
0.00%
发文量
21
审稿时长
22 weeks
期刊介绍: Basic and Clinical Andrology is an open access journal in the domain of andrology covering all aspects of male reproductive and sexual health in both human and animal models. The journal aims to bring to light the various clinical advancements and research developments in andrology from the international community.
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