| A 46-year-old male patient, with no relevant past medical history, came to the outpatient clinic of our center because of a 12-month history of ventral penile bullet of progressive growth. | |
| The patient complained of urethral meatus when white material was removed, achieving a slight decrease in volume and tension of the nodule, without accompanying voiding syndrome and uncomfortable sensation in relationships. | |
| On physical examination, an elastic nodule is observed for ventral subglandar urethral fixation lateralized to the right, 1.5 cm in diameter, mobile and cystic consistency. | |
| Complementary examinations were performed: | |
| - Magnetic resonance imaging: a 2x2x1.8cm image at baseline at the distal end of the penis with compression and distortion of the cystic corpus on the right side. | |
| A hyperintense line is observed, which is directed to contact the anterior penile urethra with possible communication of cystic image with the urethra. | |
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| - retrograde and voiding urethrography: with normal anterior urethral channel. | |
| Urethra-prostatic elongation. | |
| Trabeculate bladder with correct opening of the bladder neck and easy contrast step throughout the urethra. | |
| Absence of relapse. | |
| It was decided to perform a surgical procedure with excision of the cystic formation very fixed to the right body without observing any communication with the urethra, but with clear dependence on it. | |
| When the cyst was opened, a white liquid material was removed, without harmonic appearance and with detritus. | |
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| The pathology reports connective tissue with mild mononuclear infiltrate lined by keratinizing squamous epithelium. | |
| The patient is currently asymptomatic, with good micturation and presence of normal and satisfactory signs and symptoms. | |