Abstract

Urethral hemangiomas are rare benign vascular tumors with varying size and usually present as urethral bleeding and/ or hematuria. Treatment depends on the size and site of the lesion. We present a 27 year old male with a two year history of intermittent episodes of urethral bleeding. Cystourethroscopy showed a solitary hemangioma in the penile urethra. The patient was treated with simple transurethral excision with the biopsy forceps. The catheter was removed 48 hours later. He remains symptom free four months later. Simple excision of small hemangiomas may be an effective treatment especially for young patients in order to avoid the side effects of diathermy and when facilities such is laser are not available.

Highlights

  • We present a 27 year old male with a two year history of intermittent episodes of urethral bleeding

  • Cystourethroscopy showed a solitary hemangioma in the penile urethra

  • Urethral hemangiomas are rare benign vascular tumors which on histology consist of thin walled vascular spaces lined by endothelial cells

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Summary

Introduction

Urethral hemangiomas are rare benign vascular tumors which on histology consist of thin walled vascular spaces lined by endothelial cells. Case presentation A 27 year old white man presented in our hospital with a two years history of intermittent urethral bleeding He did not describe any bladder symptoms or any kind of urethral trauma. The patient reported episodes of urethral bleeding and initial hematuria 2-3 times per week and sometimes 2-3 times per day, without any obvious precipitating factor. Four months after treatment the patient continues to be symptom-free without any episode of urethral bleeding

Discussion
Conclusions
Saito S

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