VENOUS MALFORMATION OF THE SPONGY BODY OF THE URETHRA

Abstract

The article presents a rare clinical experience of observation and treatment of 3 patients (2 children and 1 adult) with venous malformation (VM) of the glans penis. In 2 patients (2 and 15 years) this penile disease was asymptomatic, but there was a tendency to increase head formations with age. A 20-year-old boy had episodic bleeding from the urethra during sexual activity and spontaneous erections. All patients underwent a comprehensive clinical urological examination, including ultrasound with dopplerography of the kidneys and bladder, prostate, common iliac veins, scrotum organs, penis, as well as magnetic resonance imaging of the pelvic organs with contrasting, angiography, ureterocystoscopy, and cavernosography. As a method of treatment for all patients, the use of percutaneous sclerosis of VM with a solution of bleomycin was chosen. Patients aged 2 and 15 years were injected with bleomycin twice, a patient at the age of 20 years – single. All patients were discharged home on the 3rd day after sclerosing in a satisfactory condition. At follow-up examination it was found that VM in patients 2 and 15 years was completely eliminated by the results of clinical examination, ultrasound and magnetic resonance imaging. In a patient of 20 years after 3 months of observation recorded a decrease in VM.

Keywords

• venous malformation
• urethrorragia
• spongy urethra
• sclerotherapy
• bleomycin
• venous anomaly