Urethral hemangioma in a prepubertal female patient: Report of a rare case.

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Urethral hemangioma in a prepubertal female patient: Report of a rare case.

Medicine (Baltimore). 2017 Mar;96(13):e6502

Authors: Li CC, Li CZ, Yen CH, Tsai WC, Wu ST, Cha TL, Meng E

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.

PMID: 28353601 [PubMed - indexed for MEDLINE]

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