We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Surgical excision of perineal nodular induration: A cyclist's third testicle.
- Authors
Awad, Mohannad A.; Murphy, Gregory P.; Gaither, Thomas W.; Osterberg, E. Charles; Sanford, Thomas A.; Horvai, Andrew E.; Breyer, Benjamin N.
- Abstract
Perineal nodular induration (PNI), or biker's nodule, is a rare, bothersome, pseudotumour. Herein, we describe the surgical technique used to treat a healthy cyclist who developed an enlarging PNI for five years that grew into a perineal mass. The mass prevented him from cycling due to worsening discomfort and heaviness. The PNI-associated mass was successfully removed by wide surgical excision and a local advancement flap. Subsequently, the patient resumed cycling. Histopathology report demonstrated a benign lesion with abundant ropy collagen with native smooth muscle, vessels, and rare fibroblast-like spindle cells. With the increasing popularity of cycling, PNI may become more common, and health providers should be aware of this rare entity and how it can be safely removed.
- Subjects
OPERATIVE surgery; UROLOGICAL surgery; TESTIS tumors; CYCLISTS; HISTOPATHOLOGY; DISEASES
- Publication
Canadian Urological Association Journal, 2017, Vol 11, Issue 5, pE244
- ISSN
1911-6470
- Publication type
Article
- DOI
10.5489/cuaj.4169