title: Bladder hemangioma: case report.
abstract: OBJECTIVE
  Bladder hemangioma is a benign rare lesion. There are no pathognomonic clinical signs and management is controversial due to the  bleeding risk. We report a  bladder cavernous hemangioma resolved using bipolar transurethral resection.
  
  
  METHODS
  We review the case of a female patient who presented with asymptomatic hematuria. On cystoscopy we discovered a reddish sessile  lesion compatible with bladder hemangioma. We describe the diagnostic work up, surgical management and review other therapeutic alternatives for these lesions.
  
  
  RESULTS
  Fifty five year old healthy female patient consulting for total painless hematuria. Cystoscopic evaluation revealed a 1 cm diameter  sessile reddish elevated  lesion near the bladder neck. We performed a transurethral endoscopic resection using the Gyrus Bipolar resectoscope®. Pathologic report  concluded cavernous angioma.
  
  
  CONCLUSIONS
  Bladder hemangiomas are benign and rare lesions. Clinical presentation has no pathognomonic signs although gross painless hematuria  is the most frequent  complain. Management is controversial due to the bleeding risk of this highly vascularized lesion. However, it appears that small lesions could  be treated using  transurethral resection. Although they have a benign course, follow up is mandatory to detect recurrence or residual disease.
authors: Urology Unit, Clínica Indisa, Santiago, Chile. octavio.castillo@indisa.cl
authors: Octavio A
authors: OA
authors: Castillo
authors: Alejandro
authors: A
authors: Foneron
authors: Francisco
authors: F
authors: Sepúlveda
authors: Rafael
authors: R
authors: Sánchez-Salas
authors: Virginia
authors: V
authors: Martínez
mesh_terms: D003558:Cystoscopy; D005260:Female; D006391:Hemangioma / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D014521:Urethra / Q000601:surgery; D001743:Urinary Bladder / Q000473:pathology; D001749:Urinary Bladder Neoplasms / Q000473:pathology / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000295:instrumentation / Q000379:methods*