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Summary
A contracted bladder neck in a woman, initially causing obstructive urinary symptoms, was found to be a rare cavernous hemangioma. Surgical resection provided six years of symptom relief, highlighting this condition and its treatment.
Area of Science:
- Urology
- Vascular Anomalies
Background:
- Obstructive lower urinary tract symptoms (LUTS) can significantly impact quality of life.
- Contracted bladder neck is a potential cause of LUTS, often requiring surgical intervention.
Observation:
- A 36-year-old female presented with lifelong obstructive LUTS.
- Initial diagnosis suggested a contracted bladder neck.
- Surgical exploration revealed a previously undetected cavernous hemangioma of the bladder neck.
Findings:
- Transurethral resection of the bladder neck (TUrbN) was performed.
- Histopathological examination confirmed a cavernous hemangioma.
- The patient experienced complete symptom resolution for six years post-surgery.
Implications:
- Cavernous hemangioma of the bladder neck is a rare but treatable cause of LUTS.
- TUrbN can be an effective treatment for this condition.
- This case underscores the importance of thorough investigation for unusual pathologies presenting as common urological conditions.