Recurrent postcoital hematuria. A case of fibroepithelial urethral polyp in an adult female.
BACKGROUND
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.


OBJECTIVE
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.


METHODS
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
Cesare
C
Department of Gynecology and Pathophysiology of Human Reproduction, Alma Mater Studiorum, University of Bologna, Bologna, Italy. cesare.battaglia@unibo.it
Battaglia
Bruno
B
Ramacieri
Angela
A
Paradisi
Roberto
R
Venturoli
Stefano
S
D000328:Adult; D003075:Coitus; D005260:Female; D006417:Hematuria / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D011127:Polyps / Q000150:complications* / Q000000981:diagnostic imaging; D012008:Recurrence; D018615:Ultrasonography, Doppler, Color; D014521:Urethra / Q000473:pathology; D014522:Urethral Diseases / Q000150:complications* / Q000000981:diagnostic imaging