患者女性,77岁,近1个多月来因出现排尿梗阻感、尿道反复少量出血而就诊.经检查发现尿道外口有龙眼核大肿物并渗血而收住院.检查:于尿道外口前壁处发现直径1cm肿物、表面部分溃疡.轻度渗血及附着少量脓性物;肿瘤基底部宽,周围尿道粘膜未见异常.B超报告:双肾及膀胱区未见病理改变.诊断:尿道外口肿瘤.予以口服复方SMZ及PP液坐浴.局部炎症消退后骶管麻醉下行尿道外口肿瘤切除加尿道口成形术.插入气囊导尿管,轻轻拉出肿物,于肿瘤基底部边切边以5—0肠线作间断放射状缝合.观察伤口无渗血,术毕.1周后拔除导尿管,排尿正常.出院后至今未复发.切除之肿瘤送病理检查.镜下见有大片血管,壁帐管腔扩大.互相吻合,大小不一,腔内含血液.病理报告:尿道口海绵状血管瘤伴上皮溃疡增生. Female patient, 77 years old, nearly a month over due to the emergence of urinary tract obstruction, urethral repeated a small amount of bleeding and treatment .Through the examination found that the urethral orifice longan nuclear tumor and bleeding and admitted to hospital .Check: A diameter of 1 cm was found on the anterior wall, ulceration was observed on the surface, mild oozing and a small amount of purulent material was observed, and the basal portion of the tumor was wide with no abnormalities around the urethra and mucosa.B ultrasound reports: No pathological changes were seen in the kidneys and bladder area. Diagnosis: urethral tumor. To oral SMZ and PP fluid bath. Local inflammation subsided sacral anesthesia downstream urethral tumor resection plus urethroplasty. Insert the balloon catheter, gently pull the tumor, in the The basal part of the tumor was excised by 5-0 catgut radial radiographing, and the wound was observed without bleeding, the catheter was removed after 1 week, the urination was normal, and no recurrence was found after discharge from the hospital. The resected tumor was sent for pathological examination. Microscope see a large blood vessels, wall account expansion of the lumen coincide with each other, the size of the cavity containing blood.Pathological report: urethral cavernous hemangioma with epithelial ulcer hyperplasia.