Indian Journal of Surgery

, Volume 80, Issue 1, pp 90–92 | Cite as

Large Solitary Plexiform Neurofibroma of the Penis Without Erectile Dysfunction: a Case Report from Kerala

  • Shanavas Cholakkal
  • Subhash V. C.
  • Gokul Nachiketh
Case Report


Case Report

Solitary plexiform neurofibroma of the penis is an extremely rare peripheral nerve lesion with only about 20 cases reported all around the world. Here, we are reporting a case of solitary penile plexiform neurofibroma with sexual dysfunction due to difficulty in penetration. This 47-year-old gentleman presented with a swelling on the dorsal side of the penis. He was aware of the swelling for the last 15 years. The swelling was slow growing and there was no associated loss of sensation or sexual dysfunction. For the last 2 months, he noticed that the tumour is rapidly increasing in size. He was also having difficulty in penetration during sexual intercourse which forced him to seek medical attention. He underwent excision of the swelling from our department. After 18 months of follow-up following excision, there has been no evidence of recurrence of the tumour.


Penile plexiform neurofibromas are a rare type of lesions and are usually associated with neurofibromatosis. Solitary penile plexiform neurofibromas are extremely rare. Excision, when done properly, gives good results, without erectile dysfunction.


Plexiform neurofibroma Penis Solitary Schwannoma 


Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.


  1. 1.
    Skovronsky DM, Oberholtzer JC (2004) Pathologic classification of peripheral nerve tumors. Neurosurg Clin N Am 15(2):157–166CrossRefPubMedGoogle Scholar
  2. 2.
    Brooks DG (2004) The neurofibromatoses: hereditary predisposition to multiple peripheral nerve tumors. Neurosurg Clin N Am 15(2):145–155CrossRefPubMedGoogle Scholar
  3. 3.
    Barros R, Cavalcanti AG, Favorito LA (2008) Plexiforme neurofibroma with compromising of the penile function. Urology 71(3):546.e9–546.10CrossRefGoogle Scholar
  4. 4.
    Tiel R, Kline D (2004) Peripheral nerve tumors: surgical principles, approaches, and techniques. Neurosurg Clin N Am 15(2):167–175 vi CrossRefPubMedGoogle Scholar
  5. 5.
    Bolognia JL, Jorizzo JL RR. Dermatology. 2nd ed. Elsevier limited; 2008. 1801-1802 p.Google Scholar
  6. 6.
    Lee YB, Lee JI, Park HJ, Cho BK (2012) Solitary neurofibromas: does an uncommon site exist? Ann Dermatol 24(1):101–102CrossRefPubMedPubMedCentralGoogle Scholar
  7. 7.
    Ji YH, Cheon SH, Lee JH, Moon KH, Kim YM, Park S et al (2011) Solitary penile neurofibroma with erectile dysfunction. Korean J Urol 52(6):428–430CrossRefPubMedPubMedCentralGoogle Scholar
  8. 8.
    Garaffa G, Bettocchi C, Christopher N, Ralph D (2008 Jan) Plexiform neurofibroma of the penis associated with erectile dysfunction due to arterial steeling. J Sex Med 5(1):234–236CrossRefPubMedGoogle Scholar

Copyright information

© Association of Surgeons of India 2017

Authors and Affiliations

  1. 1.Department of General SurgeryMIMS HospitalKozhikodeIndia

Personalised recommendations