Recurrent Postcoital Hematuria. A Case of Fibroepithelial Urethral Polyp in an Adult Female
Article first published online: 30 AUG 2010
© 2010 International Society for Sexual Medicine
The Journal of Sexual Medicine
Volume 8, Issue 2, pages 612–616, February 2011
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
- Issue published online: 1 FEB 2011
- Article first published online: 30 AUG 2010
- Three-Dimensional Ultrasound of the Paraurethral Structures
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.