Indian Journal of Urology
CASE REPORT
Year
: 2003  |  Volume : 19  |  Issue : 2  |  Page : 162--163

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




How to cite this article:
Pal DK, Mukherjee B, Hati GC, Chowdhry MK. Rhinosporidiosis in male urethra.Indian J Urol 2003;19:162-163


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 25 ];19:162-163
Available from: https://www.indianjurol.com/text.asp?2003/19/2/162/37153


Full Text

 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

1Sasidharan K. Subramonian P. Moni VN, Aravindan KP. Chally R. Urethral rhinosporidiosis. Br J Urol 1987; 59: 66-69.
2Ratnakar C. Madhavan M, Sankaran V. et al. Rhinosporidiosis in Pondicherry. J Trop Med & Hygien 1992; 95: 280-283.
3Patnaik K. Vasal PC. Rhinosporidiosis presenting as urethral polyp. Ind J Pathol Microbiol 1994; 37: 339-342.