Year : 2002 | Volume
: 18 | Issue : 2 | Page : 188--189
Suresh Bhat, Appu Thomas, Jacob Cherian, Reghunath, Shanmughadas
Department of Urology, Medical College, Kottayam, India
Department of Urology, Medical College, Kottayam - 686 008, Kerala
|How to cite this article:|
Bhat S, Thomas A, Cherian J, Reghunath, Shanmughadas. Urethral rhinosporidiosis.Indian J Urol 2002;18:188-189
|How to cite this URL:|
Bhat S, Thomas A, Cherian J, Reghunath, Shanmughadas. Urethral rhinosporidiosis. Indian J Urol [serial online] 2002 [cited 2020 Aug 15 ];18:188-189
Available from: http://www.indianjurol.com/text.asp?2002/18/2/188/37644
Rhinosporidiosis is a chronicc granulomatous condition usually affecting the anterior nares and commonly found in India and Sri Lanka. The lesions form sessile or pedunculated polypoidal masses, which are highly vascular and friable. The nasopharynx, conjunctiva, lachrymal sac, skin, larynx, vagina and vulva are the other common sites.
Case Report 1
A 51-year-old male presented with a fleshy growth at the external urethral meatus, which was sessile and friable. Other than splaying of the urinary stream, he had no other complaints. There was no history of sexual perversion. Excision and electrocoagulation of the base cured the patient. Histopathology revealed rhinosporidiosis [Figure 1],[Figure 2].
Case Report 2
A 32-year-old male reported with a polypoidal bleeding mass protruding from the urethral meatus. A generous meatotomy, excision of the mass with fulguration of the base was done.
Urethral rhinosporidiosis is an uncommon lesion usually affecting the younger age group (20-40 years) and is more frequent in males.  Females are rarely affected.  The first case of urethral rhinosporidiosis was in 1941 by Dhayagude.  Since then about forty cases have been reported, the largest series by Sasidharan et al.
The lesions are usually discrete, vascular, friable, painless and pedunculated or sessile and involve mostly the distal urethra.  These lesions may be mistaken for a wart or a papilloma. Surgical extirpation with electrocoagulation of the base is the only certain method of cure. 
|1||Sasidharan K, Subramanian P. Moni VN, Aravindan KP. Chally R. Urethral rhinosporidiosis - Analysis of 27 cases. BJU 1987: 59: 66-69.|
|2||Dhayagude RG. Unusual Rhinosporidial infection in man. Indian Med Gazette 1941; 76: 513-515.|
|3||Palaniswamy R, Bhandari M. Rhinosporidiosis of male terminal urethra. J Urol 1983; 129: 598-599.|