Unusual cause of urethral bleeding in an adolescent: a case in dilemma
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Dig Vijay Singh
und
Arup Kumar Mandal
Abstract
Numerous cases of self-inflicted foreign bodies in the male urethra have been reported. A case of a self-inflicted urethral injury or hemangioma in an adolescent that presented a dilemma is described here. An adolescent male of 14 years presented with a complaint of intermittent urethral bleeding for a week. He attributed this to blunt trauma sustained while playing in school. On examination, there was no sign suggestive of any trauma or any abnormal lesion on the genitalia or surrounding area. On cystourethroscopy, there was a solitary hemorrhagic lesion of 0.5 cm with a bluish base on the ventral surface of the pendular urethra, 1 cm proximal to the fossa navicularis, which was ablated using Ho:YAG laser fiber (365 μm) through a working channel mounted in an OIU (optical internal urethrotomy) sheath. The absence of any sign of external trauma or presentation after 1 week of the incident suggests an element of falseness in the history. It may be due to embarrassment or fear, which contributes to self-insertion of foreign bodies into the urethra as the primary cause, especially in adolescent males. However, the trauma can be coincidental, with the bleeding of the urethra caused by a urethral lesion like a hemangioma and might present after a long gap of 1 week due to a lack of understanding or lack of severe symptoms. Most patients of self-inflicted injuries are too ashamed to admit that they inserted any object. A psychiatric evaluation is recommended for all these adolescents, with appropriate medical therapy when indicated.
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©2014 by Walter de Gruyter Berlin Boston
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- Editorial
- To vaccinate or not to vaccinate
- Review
- Sexual and reproductive health of Portuguese adolescents
- Original articles
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- The prevalence of bullying and cyberbullying in high school: a 2011 survey
- Short- and medium-term impact of a residential weight-loss camp for overweight adolescents
- Personal and family attributes of pregnant teenagers: findings from a community-based study in Sri Lanka
- Adolescents with anorectal malformation: physical outcome, sexual health and quality of life
- What sources do adolescents turn to for information about their health concerns?
- Experiences of returning to elite alpine skiing after ACL injury and ACL reconstruction
- Hyperandrogenemia in male autistic children and adolescents: relation to disease severity
- The career aspirations of adolescents with eating disorders: an exploratory study and suggested links to adolescent self-concept development
- Differential effects of religiosity on sexual initiation among Nigerian in-school adolescents
- Prevalence of menstrual disorders among adolescent girls in Osogbo, South Western Nigeria
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- Attitudes and knowledge levels of nurses and residents caring for adolescents with an eating disorder
- Predictors of suicide ideation and risk for HIV among juvenile offenders in Georgia
- Short Communication
- Association between food intake frequency and obesity among adolescent girls in Saudi Arabia
- Case reports
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