Fibroepithelial polyp of glans penis

Abstract

The patient presented with the complaint of swelling at the tip of the penis that had been increasing for 6 months which was not associated with condom catheter use or prior surgery.

A cauliflower-like mass on the base of his penis was seen during the physical examination. It was clearly understood that the lesion affected the ventral surface of the penis, near the urethral meatus. No communication was found with the urethra. The cauliflower-like mass was about 2,5 cm in diameter (Figure 1). Surgery was performed with general endotracheal anesthesia. The mass was excised by wide local excision. The excised mass was 2.7x2x1.5 cm (Figure 2). The histopathologic diagnosis was fibroepithelial stromal polyp. The follow-up visits at 3, 6, and 12 months postoperatively showed normal findings and no recurrence.

We report a fibroepithelial polyp of the glans penis. Unlike most reported cases, our case was not associated with chronic condom catheter use. Fibroepithelial polyps are benign mesodermal tumours, which are composed of a core of fibro-vascular stroma with overlying epithelium. Clinically, the differential diagnosis includes condyloma acuminatum, giant condylomas (called Buschke–Löwenstein tumors), verrucous carcinoma, squamous cell carcinoma, urethral carcinoma and angiomyxoma. Treatment with local excision is usually successful as in our case.