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CASE REPORT |
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| Year : 2003 | Volume
: 19
| Issue : 2 | Page : 162-163 |
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Rhinosporidiosis in male urethra
Dilip Kumar Pal1, Biswanath Mukherjee2, Ganesh Chandra Hati3, Monoj Kumar Chowdhry3
1 Department of Urology, Bankura Sammilani Medical College, Bankura, India
2 Department of Surgery, Bankura Sammilani Medical College, Bankura, India
3 Department of Pathology, Bankura Sammilani Medical College, Bankura, India
Correspondence Address:
Dilip Kumar Pal
A-30, Govt. Housing Estate, Govindanagar, Side-B, Bankura - 722 102
India
 Source of Support: None, Conflict of Interest: None  | Check |
Keywords: Male urethra, rhinosporidiosis.
How to cite this article:
Pal DK, Mukherjee B, Hati GC, Chowdhry MK. Rhinosporidiosis in male urethra. Indian J Urol 2003;19:162-3 |
 Case Report | |  |
A 38-year-old male patient presented with a slow growing tumour with occasional bleeding from the surface for last 6 months without and voiding difficulty. On examination there was a reddish, pearly, glistening, polypoid growth projecting out from the right lateral wall of the external urethral meatus [Figure - 1]. It was soft in nature and nontender. He had a normal haematocrit with normal renal biochemical parameters. Urine culture was sterile.
The growth was excised from the urethral margin and the base was cauterised under local anaesthesia. The resected specimen was 3 cm x 1 cm in size. Histopathological examination suggested a nonspecific chronic infiltrate encircling sporangia in different stages of maturity enclosed in a double chitinous cell wall. The inflammatory component consisted of lymphocytes, plasma cell and polymorphonuclear leucocytes. The squamous epithelium covering the sessile growth was hyperplastic in nature [Figure - 2]. The patient is doing well without any recurrence at 2-years' follow-up.
| Comments | | |
Rhinosporidiosis is a chronic granulomatous disease caused by a fungus Rhinosporidium seeberi. [1],[2] It occurs mainly in India and Sri Lanka. [2],[3] Though nose and nasopharynx are the most common sites, [1],[2] but other rare sites are conjunctiva, lacrimal sac, larynx, parotid duct, skin, vulva, vagina and rectum. [1],[2],[3] Urethral involvement is very rare and only few cases are reported in the literature and mostly from India. [1],[2],[3]
The disease mostly affects people in the younger age group and is more frequent in males than females. [1],[2] The affected patients are of low socio-economic status of rural background [1],[2] and possible source of infection is due to taking bath in a contaminated pond. [2],[3]
The disease usually remains localised to the affected organ. Surgical extirpation with or without electrocoagulation of the base is the preferred method of treatment. [1],[2] Local recurrence is mainly due to inadequate excision. [2] Sometimes generous meatotomy is required to display the base of the lesion' to avoid local recurrence.
| References | | |
| 1. | Sasidharan K. Subramonian P. Moni VN, Aravindan KP. Chally R. Urethral rhinosporidiosis. Br J Urol 1987; 59: 66-69.  |
| 2. | Ratnakar C. Madhavan M, Sankaran V. et al. Rhinosporidiosis in Pondicherry. J Trop Med & Hygien 1992; 95: 280-283. |
| 3. | Patnaik K. Vasal PC. Rhinosporidiosis presenting as urethral polyp. Ind J Pathol Microbiol 1994; 37: 339-342. |
[Figure - 1], [Figure - 2]
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Rhinosporidiosis affecting multiple parts of the body |
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| Mallick, A.A. and Majhi, T.K. and Pal, D.K. | | Tropical Doctor. 2012; 42(3): 174-175 | | [Pubmed] | | | 3 |
Recurrent rhinosporidiosis of male urethra |
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| Pal, D.K., Bhattacharyya, N., Bag, A.K., Sinha, L. | | Indian Journal of Surgery. 2006; 68(2): 97-98 | | [Pubmed] | |
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