Less severe cases of penile retraction may actually improve at the time of puberty. Figure 7 and Figure 8. Preop concealed penis. Cysts and Webs Penile cysts can occur anywhere along the penile or scrotal raphe. They are usually asymptomatic, but can get secondarily infected.
Cysts are due to entrapment of epithelial cells during fusion of the labial scrotal folds.
In uncircumcised boys entrapped squamous debris between the inner prepuce and glans can accumulate and is often misconstrued as a cyst. No treatment is necessary for this infantile smegma and forcible separation of the prepucial adhesions from the glans should be discouraged. Neonatal circumcision is contraindicated and correction should be undertaken at six to eight months of age. Urethral Cyst Figure 10. The presence of ectopic scrotal tissue is very uncommon and usually occurs in the presence of severe colloquial extrophy.