Hemangioma of the prostate--an unusual cause of lower urinary tract symptoms: case report

• Published in: BMC urology 2011-04, Vol.11 (1), p.4-4, Article 4
• Main Authors: Serizawa, Reza R, Nørgaard, Nis, Horn, Thomas, Vibits, Henrik
• Format: Article
• Language: English
• Subjects: Aged, 80 and over; Case Report; Hemangioma; Hemangioma - complications; Hemangioma - diagnosis; Hemangioma - surgery; Humans; Male; Prostate; Prostatic Neoplasms - complications; Prostatic Neoplasms - diagnosis; Prostatic Neoplasms - surgery; Transrectal ultrasound; Transurethral Resection of Prostate; Treatment Outcome; Urinary bladder neck obstruction; Urinary Bladder Neck Obstruction - diagnosis; Urinary Bladder Neck Obstruction - etiology; Urinary Bladder Neck Obstruction - surgery
• ISSN: 1471-2490; 1471-2490
• DOI: 10.1186/1471-2490-11-4

Hemangioma of the prostate gland is extremely rare and only a few cases have been reported. There have been several cases of hemangioma of posterior urethra, urinary bladder and periprostatic plexus in the literature, all presenting with hematuria or hematospermia. Diagnosis of prostatic hemangioma is difficult due to its rarity and unspecific symptoms such as hematuria, hematospermia or lower urinary tract symptoms. It cannot be detected by conventional examinations such as cystoscopy or standard rectal ultrasonography. We present a case of prostatic hemangioma in an 84-year old male presenting with lower urinary tract symptoms. Bleeding has not been a feature in our case and diagnosis was not made until after operation. The patient was treated as a case of bladder neck outflow obstruction with transurethral resection of prostate gland and simultaneous bladder neck incisions. A period of self-catheterization was instituted due to postoperative urinary retention as the result of detrusor insufficiency. Hemangioma of prostate gland is extremely rare and symptomatic prostatic hemangioma should be treated either by transurethral resection of prostate or laser evaporation.