Li Chiao-Ching, Li Chiao-Zhu, Yen Ching-Heng, Tsai Wen-Chuan, Wu Sheng-Tang, Cha Tai-Lung, Meng En
Division of Urology, Department of Surgery Department of Neurological Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei Department of Surgery, Kaohsiung Armed Forces General Hospital, Kaohsiung Department of Surgery, Tri-Service General Hospital Songshan Branch Department of Pathology, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.
Medicine (Baltimore). 2017 Mar;96(13):e6502. doi: 10.1097/MD.0000000000006502.
Urethral hemangiomas commonly occur in men or elderly women. We presented a rare case of urethral hemangioma in a prepubertal female patient.
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.
Urethral hemangioma in a prepubertal girl was diagnosed after excision of the urethral nodule.
Excision with 8 "stay" sutures in the protruding urethral mucosa was performed.
Normal micturition without symptom recurrence was noted at the 3-month follow-up.
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.
尿道血管瘤常见于男性或老年女性。我们报告了一例青春期前女性患者的罕见尿道血管瘤病例。
一名8岁女孩有衣物血染、会阴部异味和尿道疼痛的症状。她被带到我们的泌尿生殖科门诊进行检查，在尿道远端10点至2点位置发现一个1厘米大小、可压缩的红色结节。
在切除尿道结节后，诊断为青春期前女孩尿道血管瘤。
对突出的尿道黏膜进行8针“支撑”缝合切除。
3个月随访时排尿正常，无症状复发。
青春期前女性患者也可发现尿道血管瘤。提高医生的认识并早期识别尿道血管瘤可避免不必要的检查和患者焦虑。对突出的尿道黏膜进行8针“支撑”缝合切除的操作便于从尿道远端游离，为异常增生的血管提供良好的手术视野。因此，病变可尽可能彻底地切除。
