Inverted papilloma of the anterior male urethra. Case report and brief bibliography review

We present a clinical case of inverted papilloma of the anterior urethra in a male patient. 40 years-old man, without antecedents. The patient presented with dysuria and urethral bleeding on three occacions. Preliminary studies included radiographic voiding urethrocystography which revealed anterior urethral filling defect. Cystourethroscopy under anaesthetic was performed, allowing endoscopic resection of the tumour causing the filling defect. The Pathologic study of the resected specimen reported urethral inverted papilloma. Inverted papilloma located in the male urethra is rare. The most frequent clinical manifestations are dysuria and haematuria, although urethral bleeding may present when located in the anterior urethra. Diagnosis is based on clinical symptoms, ultrasound, endoscopy and mictional urethrocystography which allows detection of urethral filling defect. Treatment consists of transurethral resection of the lesion. Annual post-operative endoscopiy control is recommended.