1743-6109/asset/olbannerleft.gif?v=1&s=eedd6f9e4d9bbfc820f16d7a94691a305662dcf8)
1743-6109/asset/olbannercenter.gif?v=1&s=bd0b59fc2aecde4a74aaef1e59f8c4b930e5aa5c)
1743-6109/asset/olbannerright.gif?v=1&s=38a0a7349f1d3c7a3dcd466347dec0325b7b9315)
Recurrent Postcoital Hematuria. A Case of Fibroepithelial Urethral Polyp in an Adult Female
Article first published online: 30 AUG 2010
DOI: 10.1111/j.1743-6109.2010.02006.x
© 2010 International Society for Sexual Medicine
Additional Information
How to Cite
Battaglia, C., Battaglia, B., Ramacieri, A., Paradisi, R. and Venturoli, S. (2011), Recurrent Postcoital Hematuria. A Case of Fibroepithelial Urethral Polyp in an Adult Female. Journal of Sexual Medicine, 8: 612–616. doi: 10.1111/j.1743-6109.2010.02006.x
Publication History
- Issue published online: 1 FEB 2011
- Article first published online: 30 AUG 2010
- Abstract
- Article
- References
- Cited By
Keywords:
- Urethra;
- Hematuria;
- Coitus;
- Ultrasonography;
- Polyp;
- Three-Dimensional Ultrasound of the Paraurethral Structures
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 2011;8:612–616.