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External Genital Anomalies in Boys
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=== Penile Masses (5): === # '''Penile cysts''' #* '''Most common penile mass in children''' #* '''Can be congenital or acquired''' # '''Parameatal Urethral Cyst''' #* A rare anomaly and appears as a small blister in proximity to the urethral meatus # '''Inclusion Cysts''' #* '''Smegma pearl''' #** Smegma, produced under the foreskin, is made of 27% fat and 13% protein§ #** '''A smegma pearl is a type of inclusion cyst where smegma becomes entrapped under the unretractable foreskin''' #*** See Figure #** '''Most common acquired cystic lesion of the penis''' #* May form after penile surgery, including circumcision and hypospadias repair, owing to islands of epithelium within the subcutaneous tissue. Excision of the epidermal inclusion is recommended. # '''Congenital Penile Nevi''' #* '''Pigmented lesions that can form on the glans and penile shaft tend to be superficial and benign and should be excised''' # '''Juvenile Xanthogranuloma''' #* Uncommon benign lesion of the penis #* '''Lesions appear as solitary or multiple pigmented (yellow, orange, gold, brown, or red) nodules of rapid onset. They measure 2-20 mm in diameter and are well demarcated, firm, and rubbery.''' #* Predominantly seen in infancy or early childhood. #* '''The lesion is often self-limited, and a period of 1 year of expectant monitoring is advised to avoid potentially unnecessary ablative genital surgery'''
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