Congenital Cyst of the Prepuce in the Context of Phimosis: A Case Report from a Rural Setting at the Koutiala Referral Health Centre

Congenital cyst of the prepuce in tight phimosis is a rare condition, of which we have found no cases in the literature. The case we report concerns an 8-year-old patient with a large cyst measuring 5 cm long and 3 cm short that had been developing for six years and a very tight phimosis. The clinic was dominated by urinary problems such as burning miction, dysuria, deformation of the penis by the fluctuating penopreputial mass and psychological trauma affecting the parents, who decided to consult for better treatment. After an operative assessment, the patient was scheduled for surgery, which consisted of a cystectomy combined with circumcision, with simple immediate and long-term after-effects.