Urethral hemangioma: case report and review of the literature

Abstract

Hemangiomas are benign vascular tumors. They are the prerogative of the liver and skin. And genitourinary localizations are rare and have only been rarely reported in the prostat, bladder, ureter or the perineum. In the light of published cases, urethral hemangiomas are mostly found in males. Few cases of hemangioma in the female urethra were reported. We report a cavernous hemangioma of the urethra in a 61 years old patient who presented bleeding from the urethra and micturition disorders. Physical examination revealed a tumor 3 cm x 2 polyploid arising from the terminal urethra (urethral hemangioma). We performed surgical resection of the tumor, along with bladder drainage. The postoperative course was simple. We update through a review of the literature aspects of the diagnostic and therapeutic care of the urethral hemangioma.

A rare case of urethral hemangioma treated with LASER

“…The urethral localization is very rare. 1 , 2 In our case we have a hemangioma of the distal part of the urethra in navicular fossa.…”

Female Urethral Cavernous Hemangioma: Introducing Treatment and Follow-Up Course of Three Cases

“…Hemangioma is a rare benign tumor of blood vessels accruing at any age. Genitourinary hemangioma frequently occurs in the kidney, ureter, bladder, prostate, and rarely urethra [5,6]. Two hypotheses have been proposed explaining the etiology of hemangioma: (1) failure of proper proliferation of unipotent angioblastic cells to normal blood cells, (2) degenerative processes associated with chronic irritant factors [2,6].…”

“…Clinical manifestations of urethral cavernous hemangioma include microscopic or macroscopic hematuria, meatal mass, lower urinary tract symptoms, urinary retention, and urethral bleeding [2]. The most common differential diagnosis of urethral masses in females include urethral caruncle, urethral prolapse, polyps, peri-urethral abscess, warts, leiomyoma, transitional cell carcinomas, adenocarcinomas, sarcomas, squamous cell carcinomas, and melanomas [5]. Cysto-urethroscopy is the best diagnostic method to identify the exact location, number, characteristics, and size of hemangiomas [7].…”

Hemangioma of penile urethra - Treatment with intralesional triamcinolone

“…They are most commonly found in liver and skin and rarely reported in prostate, bladder, ureter and perineum. 1 Urethral hemangiomas are exceedingly rare. They often look like an erythematous, inflamed mass in urethra.…”

“…The cardinal symptom is hematuria, usually macroscopic or urethrorrhagia. 1 They are found more commonly in males. 2 …”