CASES REPORT URETHRAL VENOUS MALFORMATION: AN UNUSUAL CAUSE OF RECURRENT GROSS HEMATURIA


Authors

  • Hoàng Vũ Thái Bệnh viện Quân y 175
  • Cường Nguyễn Việt Bệnh viện Quân y 175
  • Thủy Nguyễn Văn Bệnh viện Quân y 175
DOI: https://doi.org/10.59354/ydth175.2021.89

Keywords:

gross hematuria, urethral bleeding, ejaculation, bipolar, bipolar electrocoagulation

Abstract

Gross hematuria and bleeding per urethral are common emergency symptoms which in lower urinary tract symptoms. Clinical physicians may skip an unusual cause of those symptoms is urethral venous malformation.

We reported three cases in clinical practice. Due to the rarity of the disease and the lack of standardisation in the diagnosis and treatment, the patients had been examined in lots of hospitals so far, but the result is counterintuitive.

The diagnosis and treatment for the patients with gross hematuria necessitate clinical physicians pay attention to urethral venous malformation. Endoscopic bipolar electrocoagulation in 175 military hospital is a potential technique, at 6-month review, all three cases had symptom-free

Urethral venous malformation or engorged urethral veins is one of the reasons for gross hematuria or post-coitus urethral bleeding. The clinical physicians must focus on the patient’s history and examinate in detail before cure. Judicious ‘spot-welding’ and coagulation carefully of the engorged veins is a safe and effective treatment in all cases.

References

Saleem M.O., Hamawy K., và Haddad L.M. (2021). Hematuria (Nursing). StatPearls. StatPearls Publishing, Treasure Island (FL).

Patel J.V., Chambers C.V., và Gomella L.G. (2008). Hematuria: etiology and evaluation for the primary care physician. Can J Urol, 15 Suppl 1, 54–61; discussion 62.

Cattolica E.V. (1982). Massive Hemospermia: A New Etiology and Simplified Treatment. Journal of Urology, 128(1), 151–152.

Redman J.F. và Young J.W. (1987). Massive post ejaculation hematuria. Urology, 30(1), 73.

Leary F.J. và Aguilo J.J. (1974). Clinical significance of hematospermia. Mayo Clin Proc, 49(11), 815–817.

Papp G.K., Kopa Z., Szabo F. và cộng sự. (2003). Aetiology of haemospermia. 4.

Arnold S.J., Goode R., và Ginsburg A. (1978). Photostudies of urethral varices “hemorrhoids”: A forgotten lesion. Urology, 11(1), 19–27.

Debing E., Vanhulle A., van Tussenbroek F. và cộng sự. (1998). Idiopathic aneurysm of the inferior vena cava as a cause of massive penile bleeding. European Journal of Vascular and Endovascular Surgery, 15(4), 365– 368.

Tan M.O., Kordan Y., Deniz N. và cộng sự. (2003). Papillary adenoma of the prostatic urethra: Report of two cases. Int J Urol, 10(8), 459–462.

Congleton L., Thomason W.B., McMullan D.T. và cộng sự. (1989). Painless Hematuria and Urethral Discharge Secondary to Ectopic Prostate. Journal of Urology, 142(6), 1554–1555.

Regragui S., Slaoui A., Karmouni T. và cộng sự. (2016). Urethral hemangioma: case report and review of the literature. Pan Afr Med J, 23.

Husmann D.A., Rathburn S.R., và Driscoll D.J. (2007). Klippel- Trenaunay Syndrome: Incidence and Treatment of Genitourinary Sequelae. Journal of Urology, 177(4), 1244–1249.

Pierre S.A. và Albala D.M. (2007). The future of lasers in urology. World J Urol, 25(3), 275–283.

Ponce de León J., Arce J., Gausa L. và cộng sự. (2008). Hemangioma of the Prostatic Urethra: Holmium Laser Treatment. Urol Int, 80(1), 108–110.

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Published

27-06-2023

How to Cite

Vũ Thái, H., Nguyễn Việt, C., & Nguyễn Văn, T. (2023). CASES REPORT URETHRAL VENOUS MALFORMATION: AN UNUSUAL CAUSE OF RECURRENT GROSS HEMATURIA. Journal of 175 Practical Medicine and Pharmacy, (28), 8. https://doi.org/10.59354/ydth175.2021.89