The Relationship Between Genito-Urinary Hæmorrhage and Diseases of the Vascular System: (Section of Urology)

Area of Science:

• Urology
• Vascular Medicine
• Pathology

Background:

• Genito-urinary tract hemorrhages can stem from vascular system diseases.
• These diseases are broadly categorized into those affecting blood/endothelium and those altering blood vessel walls.
• This paper focuses on vascular diseases impacting blood vessel walls, excluding blood composition changes.

Purpose of the Study:

• To investigate the relationship between vascular diseases (arteriosclerosis, hyperpiesis, atheroma) and genito-urinary tract hemorrhages.
• To highlight the significance of vascular lesions as a cause of genito-urinary bleeding, beyond common diagnoses like angioma.
• To present clinical findings from cases where vascular disease is the primary cause of genito-urinary bleeding.

Main Methods:

• Clinical case review of fifteen patients with genito-urinary hemorrhage.
• Examination of superficial arteries and blood pressure estimation.
• Blood analysis and cystoscopy were employed to investigate the cause of bleeding.
• Surgical lesions were excluded using standard diagnostic methods.

Main Results:

• Fifteen cases of arteriosclerosis presenting with genito-urinary hemorrhage were analyzed.
• Nine patients experienced renal hemorrhage, one had vesical hemorrhage, and three presented with urethral hemorrhage.
• Two unique cases of penile thrombosis attributed to arterial disease were documented.

Conclusions:

• Arteriosclerosis and related vascular diseases are significant causes of genito-urinary tract bleeding.
• Renal, vesical, and urethral hemorrhages, as well as penile thrombosis, can be manifestations of underlying arterial disease.
• Urethral hemorrhage and penile thrombosis due to arterial disease appear to be rare occurrences based on literature and case review.