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Indian J Urol. 2019 Jan-Mar;35(1):81-82. doi: 10.4103/iju.IJU_221_18.

Prominent swelling on erection: Perineal angiomyxoma as a rare entity.

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Department of Urology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.


Perineal angiomyxoma is a rare entity, more commonly seen in females. We report a case of a 44 year old male who presented with a perineal swelling which became prominent with penile erections. Magnetic Resonance Imaging (MRI) revealed a T1 hypointense and T2 hyperintense midline lesion (4.6 × 2.5 × 5 cm) in relation to corpus spongiosum, with ill defined fat planes with the bulbospongiosus muscle and progressive enhancement on dynamic contrast sequence. A differential diagnosis of soft tissue sarcoma or hemangioma was made and the mass was completely excised via a midline perineal incision. The histopathology revealed features consistent with angiomyxoma.

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