Indian Journal of Urology
CASE REPORT
Year
: 2002  |  Volume : 18  |  Issue : 2  |  Page : 188--189

Urethral rhinosporidiosis


Suresh Bhat, Appu Thomas, Jacob Cherian, Reghunath, Shanmughadas 
 Department of Urology, Medical College, Kottayam, India

Correspondence Address:
Suresh Bhat
Department of Urology, Medical College, Kottayam - 686 008, Kerala
India




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


Full Text

 Introduction



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.

 Discussion



Urethral rhinosporidiosis is an uncommon lesion usu­ally affecting the younger age group (20-40 years) and is more frequent in males. [1] Females are rarely affected. [1] The first case of urethral rhinosporidiosis was in 1941 by Dhayagude. [2] 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. [3] 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]

References

1Sasidharan K, Subramanian P. Moni VN, Aravindan KP. Chally R. Urethral rhinosporidiosis - Analysis of 27 cases. BJU 1987: 59: 66-69.
2Dhayagude RG. Unusual Rhinosporidial infection in man. Indian Med Gazette 1941; 76: 513-515.
3Palaniswamy R, Bhandari M. Rhinosporidiosis of male terminal urethra. J Urol 1983; 129: 598-599.