DOI: 10.36347/sjmcr.2015.v03i11.002

Pages: 1017-1018

Urethral Rhinosporidiosis is a rare occurrence. A middle aged male presented with polypoidal mass at urethral meatus. Urethroscopy revealed a pedunculated polypoidal mass arising from urethral wall proximal to navicular fossa with two other smaller lesions. Surface was granular, red with presence of multiple yellow pin head like spots. After ventral meatotomy, distal larger lesions were excised and base cauterized. Other proximal smaller lesion was excised with monopolar resectoscope loop. Histopathology showed numerous sporangia containing endospores in various stages of maturation, confirming Rhinosporidiosis. There was no recurrence during ten months of follow up. Urethral Rhinosporidiosis has high rate of recurrence due to inadequate excision, autoinoculation of spores during surgery or reinfection. But careful endoscopic excision of smaller lesions can be done safely which obviates the need of laying open of the urethra in case of multiple or proximal urethral lesions.