Urethral hemangioma in a prepubertal female patient

Abstract

Rationale:Urethral hemangiomas commonly occur in men or elderly women. We presented a rare case of urethral hemangioma in a prepubertal female patient.Patients concerns:An 8-year-old girl had the complaints of bloody staining of clothing, a foul perineal odor, and urethral pain. She was brought to our genitourinary outpatient department for survey and a single, 1-cm compressible reddish nodule at the 10-2 o’clock position in the distal urethra was found.Diagnoses:Urethral hemangioma in a prepubertal girl was diagnosed after excision of the urethral nodule.Interventions:Excision with 8 “stay” sutures in the protruding urethral mucosa was performed.Outcomes:Normal micturition without symptom recurrence was noted at the 3-month follow-up.Lessons:Urethral hemangioma is also found in prepubertal female patient. Increased physician awareness and early recognition of a urethral hemangioma can avoid unnecessary examinations and patient anxiety. The procedure of excision with 8 “stay” sutures in the protruding urethral mucosa facilitates mobilization from the distal urethra and provides a good surgical view of abnormal proliferative blood vessels. Therefore, the lesion can be removed as clean as possible.

Urethral cavernous hemangioma in a prepubertal girl: A rare pediatric case

“…Li et al reported the youngest case of urethral hemangioma in an 8‐year‐old girl . That reported patient and our patient had similar complaints such as bloody staining of clothing and a foul perineal odor.…”

“…Prostatic, bladder, urethral, and perineal hemangiomas have been reported only rarely. To our knowledge, although urethral localization of hemangioma is reported in a few boys, only one girl has been reported in the literature to date …”