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Saudi Journal of Kidney Diseases and Transplantation
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LETTER TO THE EDITOR Table of Contents   
Year : 2008  |  Volume : 19  |  Issue : 4  |  Page : 647-648
Female Urethral Hemangioma


Department of Surgical Oncology, Gujarat Cancer and Research Institute, Ahmedabad-380016, India

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How to cite this article:
Rohan VS, Hanji AM, Patel JJ, Tankshali RA. Female Urethral Hemangioma. Saudi J Kidney Dis Transpl 2008;19:647-8

How to cite this URL:
Rohan VS, Hanji AM, Patel JJ, Tankshali RA. Female Urethral Hemangioma. Saudi J Kidney Dis Transpl [serial online] 2008 [cited 2020 Sep 28];19:647-8. Available from: http://www.sjkdt.org/text.asp?2008/19/4/647/41331
To the Editor,

Hemangiomas are benign vascular tumors most commonly involving liver and skin while involvement of the genitourinary tract is uncommon. Urethral hemangiomas are rare and only 20 cases have been reported in literature. [1] Ninety percent of urethral heman­giomas are seen in men. We herewith re­port a case of urethral hemangioma in a female patient and discuss its management.

A 60-year old woman presented to the gynecology department of our hospital with a mass protruding from the introitus and occasional genital bleeding. She was exa­mined and was referred to the surgical onco­logy department for further management. Physical examination revealed an erythe­matous, polypoidal mass surrounding the urethral meatus [Figure 1]. The lesion was 2.5 cm. in diameter and was firm in con­sistency and was not friable. Rest of the clinical examination did not reveal any sig­nificant findings.

Laboratory values were all normal. As it was a solitary distal urethral lesion, a deci­sion was made to do a wide excision of the lesion. After the excision, the urethral mu­cosa was everted and sutured. An indwe­lling Foley catheter was kept in place for two weeks. Histopathology showed cavernous hemangioma with large dilated blood vessels and flattened endothelial cells [Figure 2]. The patient is asymptomatic three months after surgery.

Hemangiomas of the urinary tract are rare and have been described in the kidney, ureter, bladder, prostate and urethra. [1] Ure­thral hemangiomas are rare and very few cases have been reported in women. [2] These tumors are believed to be congenital in origin, arising from the embryonic rest of the unipotent angioblastic cells that fail to develop into normal blood vessels. [3] Others have implicated a theory of local varicosity and chronic irritation. It may co­exist with external hemangiomas and con­genital disorders like Sturge Weber or Klippel-Trenaunay- Weber syndrome More Details. Com­mon symptoms of presentation include bloody urethral discharge, hematuria, and urinary retention. Differential diagnosis in­cludes caruncle, prolapse, periurethral abs­cess, polyps, warts, and malignant lesions which include, in decreasing order of fre­quency, squamous cell carcinoma, transi­tional cell, adenocarcinoma, sarcoma and melanoma.

Treatment of urethral hemangioma includes oral steroids for small lesions and various endoscopic modalities like electrocautery and laser ablation. [4] Single, localized lesions should undergo wide excision. [5] Although benign in nature, these tumors have pro­pensity to recur unless completely excised.

 
   References Top

1.Jahn H, Nissen HM. Haemangioma of the urinary tract: Review of the literature. Br J Urol 1991;68(2):113-7.  Back to cited text no. 1    
2.Tabibian L, Ginsberg DA. Thrombosed urethral hemangioma. J Urol 2003;170(5): 1942.  Back to cited text no. 2    
3.Uchida K, Fukuta F, Ando M, Miyake M. Female urethral hemangioma. J Urol 2001; 166(3):1008.  Back to cited text no. 3    
4.Khaitan A, Hemal AK. Urethral heman­gioma: laser treatment. Int Urol Nephrol 2000;32(2):285-6.  Back to cited text no. 4    
5.Parshad S, Yadav SP, Arora B. Urethral hemangioma: an unusual cause of hema­turia. Urol Int 2001;66(1):43-5.  Back to cited text no. 5    

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Correspondence Address:
Vinayak S Rohan
Department of Surgical Oncology, Gujarat Cancer and Research Institute, Ahmedabad-380016
India
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PMID: 18580030

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