Leiomyoma: a case report of a rare benign tumor of the female urethra

Leiomyoma is a benign smooth muscle tumor which is rarely found in urethra. It often appears in females during their reproductive age (from menarche to  menopause); the mean age of their appearance is  approximately 41 years. Less than 100 cases were reported in the literature.We hereby report a case of a   52-year-old White woman who presented with complaints of dysuria and urinary tract infection. The mass was completely removed by transvaginal excision with a  rim of normal tissue. Histopathological studies confirmed the urethral leiomyoma. The patient remained asymptomatic and there was no evidence of recurrence in the followup.Key words: Leiomyoma, smooth muscle, tumor, urethr

Urethral hemangioma: case report and review of the literature

Hemangiomas are benign vascular tumors. They are the prerogative of the liver and skin. And genitourinary localizations are rare and have only been rarely reported in the prostat, bladder, ureter or the perineum. In the light of published cases, urethral hemangiomas are mostly found in males. Few cases of hemangioma in the female urethra were reported. We report a cavernous hemangioma of the urethra in a 61 years old patient who presented bleeding from the urethra and micturition disorders. Physical examination revealed a tumor 3 cm x 2 polyploid arising from the terminal urethra (urethral hemangioma). We performed surgical resection of the tumor, along with bladder drainage. The postoperative course was simple. We update through a review of the literature aspects of the diagnostic and therapeutic care of the urethral hemangioma.Pan African Medical Journal 2016; 2

Penile cancer: about ten cases at the University Hospital of Rabat, review of the literature

The aim of our study was to report the status of penile cancer sites in the urology department at the University Hospital of Rabat and evaluate long-term results of surgical treatment of this cancer. Patients and Methods: Between 1989 and 2015, 10 patients were treated for penile cancer. 10 cases were  retrospectively reviewed and the following data were recorded: mode of revelation, seat, staging, TNM stage, treatment, evolution and survival. The mean age of patients was 58,1 years (48-81 years). All patients had squamous cell carcinoma of the penis. Six patients had a partial amputation of the penis, and three patients underwent total amputation. The median size of the lesion was 4.25 cm (1.5-8 cm). All tumors had a distal seat (gland- Furrow  balanopreputial), 8 were localized and non-invasive (PT1 - PT2) and 2 had infiltrated the urethra (PT3). Four patients had lymph node localization. A single bilateral lymphadenectomy was performed and was positive only on one side, with a node <3 cm and no  extracapsular extension. Two patients were referred for  chemotherapy, a neoadjuvant referred to basic (Bleomycin - Methotrexate, Cisplatin) the other in a palliative goal. Median follow-up was 42 months (6 -72mois). Four patients died, one of which was presented  immediately with metastatic mode. Six patients were alive at last node or local recurrence negative. Cancer of the penis seems rare in Morocco. His oncologic and functional outcomes (sexual and urinary) depend on the precocity of the treatment. The surgery of lymph node resection with lymphadenectomy remains the reference treatment.Key words: Penile Cancer, total penectomy, Partial penectomy, lymphadenectom

Fistule vésico-vaginale néoplasique secondaire à une tumeur de vessie: une entité rare

La fistule vésico-vaginale sur tumeur de vessie est extrêmement rare. Nous rapportons un cas de fistule vésico-vaginale (FVV) néoplasique chez une patiente de 54 ans, ménopausée, sans antécédent chirurgical ou de traumatisme obstétrical récent. La biopsie des berges de la fistule est revenue en faveur d’un carcinome urothélial. A la lumière de cette observation, nous discutons les formes étiologiques ainsi que les différentes stratégies thérapeutiques respectives des FVV.The Pan African Medical Journal 2016;2