Abstract
Urethrorrhagia is a benign self limited condition. Most of the cases of urethrorrhagia are idiopathic. Anterior urethral polyp (AUP) is a rare cause of it. AUP most commonly affect infants. Endoscopic modality is the best way to detect as well as manage the polyps. Fibroepithelial polyps are benign in nature with no propensity of recurrence with complete excision.
 Bangladesh Journal of Medical Science Vol.18(3) 2019 p.663-664
Highlights
Urethrorrhagia is a benign self-limited clinical condition where urethral bleeding occurs in the absence of passage of urine
The cystoscopy and panendoscopy (CPE) revealed a sessile pinkish mass measuring 1.5 cm×1 cm, originated from dorsal surface of distal penile urethra just proximal to fossa navicularis with congested urethral mucosa proximal to the lesion [Figure 1]. He was treated with endoscopic transurethral polypectomy with fulguration of base of the polyp under general anaesthesia
The histopathological report showed benign fibroepithelial polyp (FEP) of anterior urethra covered with transitional epithelium, with some areas of squamous metaplasia [Figure 2]
Summary
Introduction: Urethrorrhagia is a benign self-limited clinical condition where urethral bleeding occurs in the absence of passage of urine. It is presented with blood spots on underwear not in relation to passage of urine in pre-pubertal boys.[1] Among different etiological factors, anterior urethral polyp (AUP) is a rare condition.[2] Case: A four year old boy was presented to us with repeated episodes of painless blood spotting on his underwear for last 3-4 months. Urine analysis and culture reports were unremarkable. He was treated with endoscopic transurethral polypectomy with fulguration of base of the polyp under general anaesthesia.
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