The location of the apocrine hydrocystoma in the penis region is rare. We
present a case where we evaluated the erectile function of a patient presenting
such an asymptomatic formation. We assessed the psychogenic component of
the erectile dysfunction based on the association of the somatic component of
the cyst with the patient’s inability to focus on sexual intercourse. The fear of
traumatization of the cyst during sexual intercourse was considered as a triggering
factor of the chain of insufficient or unsuccessful erections, and the
sexual performance anxiety as a factor in maintaining this erectile dysfunction.
Apparently, an organic cause induced an erectile dysfunction, through
non-organic (predisposition, triggering and maintenance) mechanisms.
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Jain, A., Majumdar, B., Sen, S., Samanta, A., Sen, D. and Tiwari, P. (2014) An Enlarging Cyst of the Penis: Unusual Presentation of a Cystic Disorder. Journal of Pakistan Association of Dermatologists, 24, 365-367.
Abrahamson, D.J., Barlow, D., Beck, J.G., Sakheim, D.K. and Kelly, J.P. (1985) The Effect of Attentional Focus and Partner Responsiveness on Sexual Responding: Replication and Extension. Archives of Sexual Behavior, 14, 361-371. https://doi.org/10.1007/BF01550851
Van Lankveld, J.J. and Van den Hout, M.A. (2004) Increasing Neutral Distraction Inhibits Genital But Not Subjective Sexual Arousal of Sexually Functional and Dysfunctional Men. Archives of Sexual Behavior, 33, 549-558. https://doi.org/10.1023/B:ASEB.0000044739.29113.73
Brien, S.E., Smallegange, C., Gofton, W.T., Heaton, J.P.W. and Adams, M.A. (2002) Development of Rat Model of Sexual Performance Anxiety: Effect of Behavioral and Pharmacological Hyperadrenergic Stimulation on APO-Induced Erection. International Journal of Impotence Research, 14, 107-115. https://doi.org/10.1038/sj.ijir.3900836
Maggi, M., Filippi, S., Ledda, F., Magini, A. and Forti, G. (2000) Erectile Dysfunction: From Biochemical Pharmacology to Advances in Medical Therapy. European Journal of Endocrinology, 143, 142-154. https://doi.org/10.1530/eje.0.1430143
Rowland, D.L., Lechner, K.H. and Burnett, A.L. (2012) Factors Contributing to Psychoaffective Differences among Men with Sexual Dysfunction in Response to a Partnered Sexual Experience. Journal of Sex and Marital Therapy, 38, 115-127. https://doi.org/10.1080/0092623X.2011.569640