Management of pediatric penile keloid

Abstract

Keloids are abnormal scar tissue growths that extend beyond the original area of injury, occasionally occurring post-surgery. Risk factors for keloids include skin trauma, infection, prolonged wound healing and individuals of certain ethnicities. Keloid formation on the penis, however, is a rare occurrence even among circumcised males, and can produce both aesthetic and functional complications. We document the tenth patient in the literature, to our knowledge, to present with a keloid of the penis.

Fig. 1

A 19-month male with a post-circumcision keloid of the penile shaft.

Fig. 2

Penile shaft keloid lesion, pre-incision.

Fig. 3

Penile shaft keloid lesion, excised specimen.

Fig. 4

Penile shaft, post-excision.

Fig. 5

Penile shaft, post advancement of shaft skin, following closure.

Fig. 6

Penile shaft, 3 years postoperatively, recurrence-free.