Spontaneous resolution of penile sclerosing lymphangitis with conservative management: a case report and literature review

Background: Penile sclerosing lymphangitis is a rare, benign condition characterized by chronic inflammation and sclerosis of the penile lymphatic vessels. Due to its rarity and non-specific presentation, it is often underdiagnosed and misdiagnosed as other penile pathologies. Case: We report a case of a 39-year-old male who presented with an incidental, firm, cord-like structure along the dorsal penile shaft. The patient denied pain, discomfort, or erectile dysfunction and had no history of trauma or sexually transmitted infections. Physical examination and penile ultrasonography confirmed the diagnosis of penile sclerosing lymphangitis. The patient reduced the frequency of sexual activity or masturbation to once a week. At the 6-month follow-up, the lesion had completely resolved without pharmacological intervention. Conclusions: Penile sclerosing lymphangitis is a self-limiting condition that can resolve with conservative management and lifestyle modification. Increased awareness and accurate diagnosis are essential to avoid unnecessary interventions.