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Giant fibroepithelial polyp of the penis associated with long-term use of condom catheter. Case report and literature review

Naser M. Al-Awadhi¹, Nabeel Al-Brahim¹, Mahmoud S. Ahmad¹, Encho Yordanov²

1 Department of Pathology, Al-Farwania Hospital, Kuwait
2 Department of Urology, Al-Farwania Hospital, Kuwait
Address correspondence to Dr Nabeel Al-Brahim, PO Box 3313, Salmiya, 22034 Kuwait

Canadian Journal of Urology 2007, 14(4), 3656-3659.

Abstract

Background: A condom catheter is a commonly used drainage system for incontinent patients. However, it is associated with different complications including infection and erosion. One very rare complication that has been recognized is the development of giant fibroepithelial polyps in the penis; to date, to the best of our knowledge, seven cases have been reported in the literature. We report a new case of giant fibroepithelial polyp associated with long-term condom catheter use.
Case summary: A 43-year-old incontinent man who had been using a condom catheter for 14 years following a motor vehicle accident presented with a mass on the ventral aspect of his penis; the mass had appeared a year ago. The patient underwent excisional biopsy. Grossly, there was a mass with a maximum dimension of 4.0 cm, which had an irregular surface. Histological examination revealed a fibroepithelial polyp with vascular proliferation and edematous stroma with prominent bundles of smooth muscle. Perivascular lymphoid aggregates were seen. The morphology was similar to that in the previously reported cases; the presence of smooth muscle was distinct.
Conclusion: Giant fibroepithelial polyps can be associated with long-term condom catheter use and pathologists and urologists should be aware of this rare complication as their size can mimic carcinoma.

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