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Archivos Españoles de Urología (Ed. impresa)

Print version ISSN 0004-0614


OCHOA UNDARGARAIN, Otto; HERMIDA PEREZ, José Alberto  and  OCHOA MONTES DE OCA, Johannes. Inverted papilloma of the anterior male urethra: Case report and bibliographic review. Arch. Esp. Urol. [online]. 2006, vol.59, n.2, pp.183-186. ISSN 0004-0614.

Objectives: We report a clinical case of inverted papilloma of the anterior male urethra. Methods/Results: 40-year-old male without significant past medical history presenting with dysuria and referring three episodes of urethral bleeding. Preliminary studiesincluded voiding cystourethrogram (VCUG) which revealed a filling defect in the anterior urethra. Urethrocystoscopy was performed under anesthesia, with resection of the tumor. Pathologic study reported a urethral inverted papilloma. Conclusions: Inverted papillomas of the male urethra are rare. The most frequent clinical manifestations are dysuria and hematuria, although they may present with urethral bleeding when located in the anterior urethra. Diagnosis is based on clinical symptoms, ultrasound, endoscopy and VCUG which enable detection of urethral filling defects. The treatment of choice is transurethral resection of the lesion. Annual endoscopic control is recommended after surgery.

Keywords : Dysuria; Urethral bleeding; Urethral inverted papilloma.

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