[Hemangioma of the glans penis. Its therapy by neodymium:YAG laser]

We report the case of a young male patient with a massive cavernous hemangioma of the glans penis that had developed since childhood. The patient complained of pain when standing for long periods and during erections; furthermore its appearance disturbed him for cosmetic reasons. After associated hemangiomas of the genitourinary tract had been excluded by ultrasonography, intravenous pyelogram and cystoscopy, laser coagulation of the hemangioma was performed with a neodymium:YAG laser with the patient under local anaesthesia. The results of this conservative form of therapy show that it represents an alternative to surgical procedures; we recommend laser coagulation as the treatment of choice in patients with penile hemangiomas. The pertinent literature is reviewed.