From the Guidelines
For a sebaceous cyst on the penis, the most effective treatment entails incision, thorough evacuation of the pus, and probing the cavity to break up loculations, as this approach addresses the root cause of the condition and minimizes the risk of infection or scarring. According to the practice guidelines for the diagnosis and management of skin and soft-tissue infections 1, epidermoid cysts, often mistakenly referred to as sebaceous cysts, typically contain skin flora in the cheesy keratinous material, and cultures of inflamed cysts yield the same organisms. This suggests that inflammation and purulence occur as a reaction to rupture of the cyst wall and extrusion of its contents into the dermis, rather than as an infectious complication.
Some key points to consider in the treatment of sebaceous cysts on the penis include:
- Avoiding squeezing or attempting to pop the cyst yourself, as this can lead to infection or scarring
- Keeping the area clean with mild soap and water to prevent infection
- Applying warm compresses to the area for 10-15 minutes several times daily to reduce inflammation and potentially help the cyst drain naturally
- Considering minor surgical procedures like incision and drainage or complete excision under local anesthesia for persistent or bothersome cysts
- Monitoring for signs of infection, such as rapid growth, increasing pain, redness, warmth, or discharge, and seeking prompt medical attention if these symptoms occur.
It is essential to consult a healthcare provider for proper diagnosis and treatment, as they can determine the best course of action based on the individual case and provide guidance on how to manage the condition effectively 1.
From the Research
Treatment Options for Sebaceous Cyst on Penis
- Surgical excision is a common treatment method for sebaceous cysts, including those located on the penis 2.
- A minimal-incision technique can be used to excise sebaceous cysts, resulting in good cosmetic results and a low recurrence rate 3.
- A two-step method involving laser punch and minimal postponed excision can also be used to remove sebaceous cysts, especially large cysts or those located in areas of thick skin or cosmetic concern 4.
- One-stage excision of inflamed sebaceous cysts can be preferable to conventional treatment, reducing duration of antibiotic exposure, morbidity, and cost 5.
Considerations for Penile Sebaceous Cysts
- Penile sebaceous glands (Fordyce spots) are a common anatomical variant and can be distinguished from pathological conditions such as sebaceous cysts 6.
- A thorough examination is necessary to diagnose and distinguish between normal penile anatomical variants and pathological conditions requiring treatment 6.
- Surgical excision of sebaceous cysts on the penis can be effective in treating the condition, as seen in a case report of a dermoid cyst on the penis 2.