Recurrent Postcoital Hematuria. A Case of Fibroepithelial Urethral Polyp in an Adult Female.
Summary of "Recurrent Postcoital Hematuria. A Case of Fibroepithelial Urethral Polyp in an Adult Female."
ABSTRACT Introduction. In males, an isolated gross postcoital hematuria is a very rare clinical phenomenon. No cases of postcoital macroscopic hematuria have been previously reported in females. Aim. To report a case of female urethral fibroepithelial polyp (FEP) associated with recurrent postcoital hematuria. Methods. A young (31 years old), eumenorrheic woman complained of three episodes of postcoital macrohematuria. The patient was assessed with a detailed history, with a bimanual pelvic examination and with bidimensional and tridimensional ultrasonographic and color Doppler analyses of the internal genitalia and of the urethrovaginal space. Main Outcomes Measures. Transvaginal two-dimensional (2-D) ultrasonographic evaluation of internal genitalia, bladder and urethra and three-dimensional (3-D) analysis of the urethra and paraurethral structures. Results. The 2-D transvaginal evaluation and the 3-D reconstruction showed a polypoid hypervascularized structure arising from the anterior urethral wall. A cystourethroscopy confirmed the presence of a FEP arising from the anterior wall of the urethra and allowed its removal. Conclusions. A gross postcoital hematuria may be associated with a urethral polyp. The ultrasonographic evaluation of the urethrovaginal space can facilitate the diagnosis. Battaglia C, Battaglia B, Ramacieri A, Paradisi R, and Venturoli S. Recurrent postcoital hematuria. A case of fibroepithelial urethral polyp in an adult female. J Sex Med **;**:**-**.
Affiliation
Department of Gynecology and Pathophysiology of Human Reproduction, Alma Mater Studiorum, University of Bologna, Bologna, Italy.
Journal Details
This article was published in the following journal.
Name: The journal of sexual medicine
ISSN: 1743-6109
Pages:
Links
- PubMed Source: http://www.ncbi.nlm.nih.gov/pubmed/20807321
- DOI: http://dx.doi.org/10.1111/j.1743-6109.2010.02006.x
Medical and Biotech [MESH] Definitions
Contraception, Postcoital
Means of postcoital intervention to avoid pregnancy, such as the administration of POSTCOITAL CONTRACEPTIVES to prevent FERTILIZATION of an egg or implantation of a fertilized egg (OVUM IMPLANTATION).
Urethral Neoplasms
Cancer or tumors of the URETHRA. Benign epithelial tumors of the urethra usually consist of squamous and transitional cells. Primary urethral carcinomas are rare and typically of squamous cells. Urethral carcinoma is the only urological malignancy that is more common in females than in males.
Contraceptives, Postcoital, Synthetic
Postcoital contraceptives which owe their effectiveness to synthetic preparations.
Contraceptives, Postcoital, Hormonal
Postcoital contraceptives which owe their effectiveness to hormonal preparations.
Brenner Tumor
A smooth, solid or cystic fibroepithelial (FIBROEPITHELIAL NEOPLASMS) tumor, usually found in the OVARIES but can also be found in the adnexal region and the KIDNEYS. It consists of a fibrous stroma with nests of epithelial cells that sometimes resemble the transitional cells lining the urinary bladder. Brenner tumors generally are benign and asymptomatic. Malignant Brenner tumors have been reported.
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