Case Report
Volume: 4 | Issue: 1 | Published: Jan 03, 2020 | Pages: 9 - 12 | DOI: 10.24911/ejmcr/173-1549270214
Primary isolated amyloidosis of the urethra: a case report
Authors: Felix Kwizera , Philippe Uystepruyst , Renaud Bollens , Andre Gilles , Jean-Hubert Maquet
Article Info
Authors
Felix Kwizera
Department of Urology, Centre Hospitalier EpiCURA, Hornu, Belgium
Philippe Uystepruyst
Department of Urology, Centre Hospitalier EpiCURA, Hornu, Belgium
Renaud Bollens
Department of Urology, Centre Hospitalier EpiCURA, Hornu, Belgium
Andre Gilles
Department of Histopathology, Centre Hospitalier EpiCURA, Hornu, Belgium
Jean-Hubert Maquet
Department of Urology, Centre Hospitalier EpiCURA, Hornu, Belgium
Publication History
Received: March 21, 2019
Revised: July 29, 2019
Accepted: October 14, 2019
Published: January 03, 2020
Abstract
Background: Amyloidosis is a tissue protein deposition. Urethral amyloidosis is rare. Clinical presentation includes hematuria, obstructive urinary symptoms, urethritis-like symptoms, urethral discharge, or a palpable penile/urethral mass. The diagnosis is made by urethro-cystoscopy and biopsy. Case Presentation: We report the case of a 38-year-old man with a medical history of recurrent urinary tract infections, urethral discharge, and a palpable bulbar urethral mass. Urethral biopsies confirmed the urethral amyloidosis. The treatment was endoscopic urethral dilatation. Conclusion: Urethral amyloidosis is a rare condition and a challenging diagnosis. Urethroscopy is the best method for diagnosis. Biopsies should be done to exclude malignancy.
Keywords: Urethra, amyloidosis, genito-urinary amyloidosis, urinary tract infection, case report, green