title: Median raphe cysts in men. Presentation of our experience and literature review.
abstract: OBJECTIVE
  To present our experience with the diagnosis and treatment of median raphe cysts treated in our department in the last 25years.
  
  
  METHODS
  We conducted a retrospective study of 28men with median raphe cysts who underwent surgery in our department from June 1990 to March 2015. We analysed the age of presentation, reason for consultation, clinical manifestations, histological findings, treatment and outcome after exeresis.
  
  
  RESULTS
  The majority of the patients (22; 79%) were asymptomatic and consulted for the aesthetic defect. Four cases (14%) presented urinary abnormalities, and 2 cases (7%) reported discomfort during sexual intercourse. In all cases, the treatment consisted of surgical extirpation of the cysts, with excellent aesthetic and functional results and no lesion recurrence in any of the patients during a mean follow-up of more than 10years. The most common histological type was the transitional cell type in 15 cases (54%), followed by the mixed type (transitional and squamous) in 11 cases (39%). One case (6%) was pure squamous type, and in another case (6%) the epithelium was glandular.
  
  
  CONCLUSIONS
  Median raphe cysts are an uncommon type of disembryoplasia that can occur in any location of the median raphe, from the balanic meatus to the edges of the anus. These cysts are generally asymptomatic and their treatment of choice is surgical extirpation.
authors.affiliation: Servicio de Urología y Anatomía Patológica, Hospital Universitario Casa de Salud, Universidad Católica San Vicente Mártir, Valencia, España.
authors.forename: V
authors.initials: V
authors.lastname: Navalón-Monllor
authors.affiliation: Servicio de Urología y Anatomía Patológica, Hospital Universitario Casa de Salud, Universidad Católica San Vicente Mártir, Valencia, España.
authors.forename: M V
authors.initials: MV
authors.lastname: Ordoño-Saiz
authors.affiliation: Servicio de Urología y Anatomía Patológica, Hospital Universitario Casa de Salud, Universidad Católica San Vicente Mártir, Valencia, España.
authors.forename: F
authors.initials: F
authors.lastname: Ordoño-Domínguez
authors.affiliation: Servicio de Urología y Anatomía Patológica, Hospital Universitario Casa de Salud, Universidad Católica San Vicente Mártir, Valencia, España.
authors.forename: V
authors.initials: V
authors.lastname: Sabater-Marco
authors.affiliation: Servicio de Urología y Anatomía Patológica, Hospital Universitario Casa de Salud, Universidad Católica San Vicente Mártir, Valencia, España.
authors.forename: Y
authors.initials: Y
authors.lastname: Pallás-Costa
authors.affiliation: Servicio de Urología y Anatomía Patológica, Hospital Universitario Casa de Salud, Universidad Católica San Vicente Mártir, Valencia, España. Electronic address: pedronavalon@yahoo.com.
authors.forename: P
authors.initials: P
authors.lastname: Navalón-Verdejo
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D002675:Child, Preschool; D003560:Cysts / Q000473:pathology / Q000601:surgery; D005832:Genital Diseases, Male / Q000473:pathology / Q000601:surgery; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D008875:Middle Aged; D010409:Penile Diseases / Q000473:pathology / Q000601:surgery; D012189:Retrospective Studies; D012611:Scrotum; D055815:Young Adult
keywords: Embryonal residues; Median raphe cysts; Quistes de rafe medio; Restos embrionarios