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CASE REPORT
Year : 2003  |  Volume : 19  |  Issue : 2  |  Page : 162-163
 

Rhinosporidiosis in male urethra


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
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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

How to cite this URL:
Pal DK, Mukherjee B, Hati GC, Chowdhry MK. Rhinosporidiosis in male urethra. Indian J Urol [serial online] 2003 [cited 2020 Nov 28];19:162-3. Available from: https://www.indianjurol.com/text.asp?2003/19/2/162/37153



   Case Report Top


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 Top


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 Top

1.Sasidharan K. Subramonian P. Moni VN, Aravindan KP. Chally R. Urethral rhinosporidiosis. Br J Urol 1987; 59: 66-69.  Back to cited text no. 1    
2.Ratnakar C. Madhavan M, Sankaran V. et al. Rhinosporidiosis in Pondicherry. J Trop Med & Hygien 1992; 95: 280-283.  Back to cited text no. 2    
3.Patnaik K. Vasal PC. Rhinosporidiosis presenting as urethral polyp. Ind J Pathol Microbiol 1994; 37: 339-342.  Back to cited text no. 3    


    Figures

  [Figure - 1], [Figure - 2]

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1 An unusual case of urethral polyp
Chowdhury, A.R. and Dey, R. and Bhattacharya, P. and Basu, S.
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2 Rhinosporidiosis affecting multiple parts of the body
Mallick, A.A. and Majhi, T.K. and Pal, D.K.
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3 Recurrent rhinosporidiosis of male urethra
Pal, D.K., Bhattacharyya, N., Bag, A.K., Sinha, L.
Indian Journal of Surgery. 2006; 68(2): 97-98
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