Vascular anomalies of the male genitalia

Ann M. Kulungowski, Carolyn C. Schook, Ahmad I. Alomari, Adam M. Vogel, John B. Mulliken, Steven J. Fishman

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

Purpose: Vascular tumors and malformations of the male genitalia can affect urinary, sexual, reproductive, and emotional function. Methods: Male patients with a genital lesion evaluated or treated at our center from 1995 to 2010 were reviewed to analyze presentation, diagnosis, treatment modalities, and outcome. Results: Of the 3889 male patients, 117 had a vascular anomaly of the genitalia: 12 tumors and 105 malformations. The referring diagnosis was accurate in 72.7% of patients with a tumor, whereas 46.3% of malformations were misdiagnosed. Tumors included infantile hemangioma (n = 10) and kaposiform lymphatic anomaly (n = 2). Common vascular malformations were lymphatic (n = 46), venous (n = 33), and capillary-lymphatic-venous (n = 16). Presenting signs for tumors included ulceration (33.0%) and ambiguous genitalia (25.0%). Malformations manifested with swelling (40.0%), fluid leakage (16.2%), and pain (16.2%). Treatment was necessary for 69.9% (79/113) of patients. The remaining lesions (34/113) were observed. Tumor management included observation, pharmacotherapy, and excision. Malformations were largely treated with sclerotherapy and/or surgical procedures. Conclusions: Vascular anomalies of the male genitalia are uncommon and frequently misdiagnosed. Accurate diagnosis can be made and appropriate treatment can be instituted based on presentation, natural history, and radiographic imaging. Observation and pharmacotherapy are the mainstays of tumor management. Malformations require sclerotherapy and/or resection. Interdisciplinary care optimizes outcomes for males with these often-disfiguring vascular lesions.

Original languageEnglish (US)
Pages (from-to)1214-1221
Number of pages8
JournalJournal of Pediatric Surgery
Volume46
Issue number6
DOIs
StatePublished - Jun 2011

Fingerprint

Male Genitalia
Blood Vessels
Neoplasms
Vascular Malformations
Sclerotherapy
Diagnostic Errors
Observation
Disorders of Sex Development
Drug Therapy
Lymphatic Vessels
Genitalia
Hemangioma
Natural History
Pain
Therapeutics

Keywords

  • Arteriovenous malformation
  • Genital
  • Lymphatic malformation
  • Vascular anomaly
  • Vascular malformation
  • Venous malformation

ASJC Scopus subject areas

  • Surgery
  • Pediatrics, Perinatology, and Child Health

Cite this

Kulungowski, A. M., Schook, C. C., Alomari, A. I., Vogel, A. M., Mulliken, J. B., & Fishman, S. J. (2011). Vascular anomalies of the male genitalia. Journal of Pediatric Surgery, 46(6), 1214-1221. https://doi.org/10.1016/j.jpedsurg.2011.03.056
Kulungowski, Ann M. ; Schook, Carolyn C. ; Alomari, Ahmad I. ; Vogel, Adam M. ; Mulliken, John B. ; Fishman, Steven J. / Vascular anomalies of the male genitalia. In: Journal of Pediatric Surgery. 2011 ; Vol. 46, No. 6. pp. 1214-1221.
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abstract = "Purpose: Vascular tumors and malformations of the male genitalia can affect urinary, sexual, reproductive, and emotional function. Methods: Male patients with a genital lesion evaluated or treated at our center from 1995 to 2010 were reviewed to analyze presentation, diagnosis, treatment modalities, and outcome. Results: Of the 3889 male patients, 117 had a vascular anomaly of the genitalia: 12 tumors and 105 malformations. The referring diagnosis was accurate in 72.7{\%} of patients with a tumor, whereas 46.3{\%} of malformations were misdiagnosed. Tumors included infantile hemangioma (n = 10) and kaposiform lymphatic anomaly (n = 2). Common vascular malformations were lymphatic (n = 46), venous (n = 33), and capillary-lymphatic-venous (n = 16). Presenting signs for tumors included ulceration (33.0{\%}) and ambiguous genitalia (25.0{\%}). Malformations manifested with swelling (40.0{\%}), fluid leakage (16.2{\%}), and pain (16.2{\%}). Treatment was necessary for 69.9{\%} (79/113) of patients. The remaining lesions (34/113) were observed. Tumor management included observation, pharmacotherapy, and excision. Malformations were largely treated with sclerotherapy and/or surgical procedures. Conclusions: Vascular anomalies of the male genitalia are uncommon and frequently misdiagnosed. Accurate diagnosis can be made and appropriate treatment can be instituted based on presentation, natural history, and radiographic imaging. Observation and pharmacotherapy are the mainstays of tumor management. Malformations require sclerotherapy and/or resection. Interdisciplinary care optimizes outcomes for males with these often-disfiguring vascular lesions.",
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Kulungowski, AM, Schook, CC, Alomari, AI, Vogel, AM, Mulliken, JB & Fishman, SJ 2011, 'Vascular anomalies of the male genitalia', Journal of Pediatric Surgery, vol. 46, no. 6, pp. 1214-1221. https://doi.org/10.1016/j.jpedsurg.2011.03.056

Vascular anomalies of the male genitalia. / Kulungowski, Ann M.; Schook, Carolyn C.; Alomari, Ahmad I.; Vogel, Adam M.; Mulliken, John B.; Fishman, Steven J.

In: Journal of Pediatric Surgery, Vol. 46, No. 6, 06.2011, p. 1214-1221.

Research output: Contribution to journalArticle

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T1 - Vascular anomalies of the male genitalia

AU - Kulungowski, Ann M.

AU - Schook, Carolyn C.

AU - Alomari, Ahmad I.

AU - Vogel, Adam M.

AU - Mulliken, John B.

AU - Fishman, Steven J.

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N2 - Purpose: Vascular tumors and malformations of the male genitalia can affect urinary, sexual, reproductive, and emotional function. Methods: Male patients with a genital lesion evaluated or treated at our center from 1995 to 2010 were reviewed to analyze presentation, diagnosis, treatment modalities, and outcome. Results: Of the 3889 male patients, 117 had a vascular anomaly of the genitalia: 12 tumors and 105 malformations. The referring diagnosis was accurate in 72.7% of patients with a tumor, whereas 46.3% of malformations were misdiagnosed. Tumors included infantile hemangioma (n = 10) and kaposiform lymphatic anomaly (n = 2). Common vascular malformations were lymphatic (n = 46), venous (n = 33), and capillary-lymphatic-venous (n = 16). Presenting signs for tumors included ulceration (33.0%) and ambiguous genitalia (25.0%). Malformations manifested with swelling (40.0%), fluid leakage (16.2%), and pain (16.2%). Treatment was necessary for 69.9% (79/113) of patients. The remaining lesions (34/113) were observed. Tumor management included observation, pharmacotherapy, and excision. Malformations were largely treated with sclerotherapy and/or surgical procedures. Conclusions: Vascular anomalies of the male genitalia are uncommon and frequently misdiagnosed. Accurate diagnosis can be made and appropriate treatment can be instituted based on presentation, natural history, and radiographic imaging. Observation and pharmacotherapy are the mainstays of tumor management. Malformations require sclerotherapy and/or resection. Interdisciplinary care optimizes outcomes for males with these often-disfiguring vascular lesions.

AB - Purpose: Vascular tumors and malformations of the male genitalia can affect urinary, sexual, reproductive, and emotional function. Methods: Male patients with a genital lesion evaluated or treated at our center from 1995 to 2010 were reviewed to analyze presentation, diagnosis, treatment modalities, and outcome. Results: Of the 3889 male patients, 117 had a vascular anomaly of the genitalia: 12 tumors and 105 malformations. The referring diagnosis was accurate in 72.7% of patients with a tumor, whereas 46.3% of malformations were misdiagnosed. Tumors included infantile hemangioma (n = 10) and kaposiform lymphatic anomaly (n = 2). Common vascular malformations were lymphatic (n = 46), venous (n = 33), and capillary-lymphatic-venous (n = 16). Presenting signs for tumors included ulceration (33.0%) and ambiguous genitalia (25.0%). Malformations manifested with swelling (40.0%), fluid leakage (16.2%), and pain (16.2%). Treatment was necessary for 69.9% (79/113) of patients. The remaining lesions (34/113) were observed. Tumor management included observation, pharmacotherapy, and excision. Malformations were largely treated with sclerotherapy and/or surgical procedures. Conclusions: Vascular anomalies of the male genitalia are uncommon and frequently misdiagnosed. Accurate diagnosis can be made and appropriate treatment can be instituted based on presentation, natural history, and radiographic imaging. Observation and pharmacotherapy are the mainstays of tumor management. Malformations require sclerotherapy and/or resection. Interdisciplinary care optimizes outcomes for males with these often-disfiguring vascular lesions.

KW - Arteriovenous malformation

KW - Genital

KW - Lymphatic malformation

KW - Vascular anomaly

KW - Vascular malformation

KW - Venous malformation

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Kulungowski AM, Schook CC, Alomari AI, Vogel AM, Mulliken JB, Fishman SJ. Vascular anomalies of the male genitalia. Journal of Pediatric Surgery. 2011 Jun;46(6):1214-1221. https://doi.org/10.1016/j.jpedsurg.2011.03.056