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Pilonidal sinus of the penis.

Al Chalabi H, Ghalib HA, Nabri M, O'Hanrahan T - Infect Drug Resist (2008)

Bottom Line: Pilonidal sinus is a well recognised chronic inflammatory condition which commonly affects the natal cleft and finger web space.Pilonidal sinus of the penis is a rare clinical entity; few cases have been reported previously.Our diagnosis was established on the histopathological findings rather than a clinical-based diagnosis, Follow-up is advisable since the recurrence rate is high.

View Article: PubMed Central - PubMed

Affiliation: General Surgery Department, Sligo General Hospital, The Mall, Sligo, Dublin, Ireland.

ABSTRACT
Pilonidal sinus is a well recognised chronic inflammatory condition which commonly affects the natal cleft and finger web space. Pilonidal sinus of the penis is a rare clinical entity; few cases have been reported previously. The treatment strategy is almost the same as treating any pilonidal sinus and involves total excision of the sinus. Our diagnosis was established on the histopathological findings rather than a clinical-based diagnosis, Follow-up is advisable since the recurrence rate is high. Our case report is one of few cases reported on pilonidal sinus all over the world. Our patient had total excision of the sinus with complete recovery.

No MeSH data available.


Related in: MedlinePlus

Chronic inflammatory lymphoid cell reaction.
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f1-idr-1-013: Chronic inflammatory lymphoid cell reaction.

Mentions: Pilonidal sinus was first described by Anderson (1847). It is a condition that affects hairy areas such as the natal cleft, axillae, perineum, finger web space in the hands of barbers, and amputation stumps (Saharay et al 1997). The pathogenesis of pilonidal sinus is controversial although it is agreed that it is acquired. The present view is that the large majority of pilonidal sinuses have an acquired pathogenesis. The initiating event appears to be follicular hyperkeratosis with plugging, leading to retention of follicular products (Lucas 1997). The rupture of a follicular unit or a cyst with secondary infection results in abscess formation. In some instances, sinuses formed to drain the abundant suppuration. The sinuses are lined by stratified squamous epithelium and inflammatory granulation tissue. Very often, numerous hair shafts penetrate into dermis and elicit foreign body giant cell reaction (Figure 1–3). The inflammatory reaction subsides after the pus is discharged. In some cases the opening onto the skin is absent and there is no secondary infection. There may be a pilonidal tract or cyst in these persons. The support for the acquired theory of the pilonidal sinus comes from their occurrence in situations such as the finger web space in the hands of barbers, and in amputation stumps. Therefore many cases are acquired as a result of trauma from “jeep seat”, “rough riding syndrome”, and occupational physical injury (Val-Bernal et al 1999). The literature was reviewed and a few cases were reported worldwide (Val-Bernal et al 1999; Chikkamuniyappa et al 2004; Kalsi et al 2004; O’Kane et al 2004). The literature referred to penile pilonidal sinus with some other pathologies such as actinomycosis infection (Val-Bernal et al 1999; Chikkamuniyappa et al 2004) or erectile dysfunction (Kalsi et al 2004). Therefore, a good clinical assessment and bacteriological examination is essential to obtain better results.


Pilonidal sinus of the penis.

Al Chalabi H, Ghalib HA, Nabri M, O'Hanrahan T - Infect Drug Resist (2008)

Chronic inflammatory lymphoid cell reaction.
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC3108719&req=5

f1-idr-1-013: Chronic inflammatory lymphoid cell reaction.
Mentions: Pilonidal sinus was first described by Anderson (1847). It is a condition that affects hairy areas such as the natal cleft, axillae, perineum, finger web space in the hands of barbers, and amputation stumps (Saharay et al 1997). The pathogenesis of pilonidal sinus is controversial although it is agreed that it is acquired. The present view is that the large majority of pilonidal sinuses have an acquired pathogenesis. The initiating event appears to be follicular hyperkeratosis with plugging, leading to retention of follicular products (Lucas 1997). The rupture of a follicular unit or a cyst with secondary infection results in abscess formation. In some instances, sinuses formed to drain the abundant suppuration. The sinuses are lined by stratified squamous epithelium and inflammatory granulation tissue. Very often, numerous hair shafts penetrate into dermis and elicit foreign body giant cell reaction (Figure 1–3). The inflammatory reaction subsides after the pus is discharged. In some cases the opening onto the skin is absent and there is no secondary infection. There may be a pilonidal tract or cyst in these persons. The support for the acquired theory of the pilonidal sinus comes from their occurrence in situations such as the finger web space in the hands of barbers, and in amputation stumps. Therefore many cases are acquired as a result of trauma from “jeep seat”, “rough riding syndrome”, and occupational physical injury (Val-Bernal et al 1999). The literature was reviewed and a few cases were reported worldwide (Val-Bernal et al 1999; Chikkamuniyappa et al 2004; Kalsi et al 2004; O’Kane et al 2004). The literature referred to penile pilonidal sinus with some other pathologies such as actinomycosis infection (Val-Bernal et al 1999; Chikkamuniyappa et al 2004) or erectile dysfunction (Kalsi et al 2004). Therefore, a good clinical assessment and bacteriological examination is essential to obtain better results.

Bottom Line: Pilonidal sinus is a well recognised chronic inflammatory condition which commonly affects the natal cleft and finger web space.Pilonidal sinus of the penis is a rare clinical entity; few cases have been reported previously.Our diagnosis was established on the histopathological findings rather than a clinical-based diagnosis, Follow-up is advisable since the recurrence rate is high.

View Article: PubMed Central - PubMed

Affiliation: General Surgery Department, Sligo General Hospital, The Mall, Sligo, Dublin, Ireland.

ABSTRACT
Pilonidal sinus is a well recognised chronic inflammatory condition which commonly affects the natal cleft and finger web space. Pilonidal sinus of the penis is a rare clinical entity; few cases have been reported previously. The treatment strategy is almost the same as treating any pilonidal sinus and involves total excision of the sinus. Our diagnosis was established on the histopathological findings rather than a clinical-based diagnosis, Follow-up is advisable since the recurrence rate is high. Our case report is one of few cases reported on pilonidal sinus all over the world. Our patient had total excision of the sinus with complete recovery.

No MeSH data available.


Related in: MedlinePlus