Differential Diagnosis for Band of Constrictive Tissue Located Behind the Glans
- Single Most Likely Diagnosis + Peyronie's Disease: A condition characterized by the formation of fibrous scar tissue inside the penis, leading to curved, painful erections. The band of constrictive tissue behind the glans could be a manifestation of this disease, especially if it's causing penile deformity or discomfort.
- Other Likely Diagnoses + Penile Lymphedema: This condition involves the accumulation of lymph fluid in the penis, which can cause swelling and potentially lead to the formation of constrictive tissue. It might be secondary to another condition such as surgery, infection, or malignancy. + Sclerosing Lipogranuloma: A rare inflammatory condition that can cause the formation of fibrotic tissue in the genital area, potentially leading to constrictive bands.
- Do Not Miss Diagnoses + Malignancy (e.g., Squamous Cell Carcinoma): Although less common, any unusual tissue growth or constriction should prompt an investigation for malignancy, as early detection is crucial for treatment and prognosis. + Paraphimosis: A condition where the foreskin is retracted behind the glans and cannot return to its original position, potentially leading to constriction. This is a medical emergency due to the risk of ischemia and necrosis.
- Rare Diagnoses + Dupuytren's Contracture of the Penis: An extremely rare condition analogous to Dupuytren's contracture of the hand, where fibrous tissue in the penis leads to deformity and constriction. + Penile Fibromatosis: A rare, benign condition characterized by the growth of fibrous tissue in the penis, which could potentially cause constrictive symptoms.