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• W4236095191 abstract "You have accessJournal of UrologySexual Function/Dysfunction: Evaluation II1 Apr 2017MP84-06 TERTIARY REFERRAL HOSPITAL EXPERIENCES OF MEN PRESENTING WITH PAINLESS POST-COITAL GROSS HEMATURIA AND A SUGGESTION FOR TENTATIVE MANAGEMENT ALGORITHM Dong Hyuk Kang, Jongsoo Lee, Jong Won Kim, Jae Yong Jeong, Sung Ku Kang, Jong Kyu Kwon, Joo Yong Lee, Dae Chul Jung, Young Deuk Choi, and Kang Su Cho Dong Hyuk KangDong Hyuk Kang More articles by this author , Jongsoo LeeJongsoo Lee More articles by this author , Jong Won KimJong Won Kim More articles by this author , Jae Yong JeongJae Yong Jeong More articles by this author , Sung Ku KangSung Ku Kang More articles by this author , Jong Kyu KwonJong Kyu Kwon More articles by this author , Joo Yong LeeJoo Yong Lee More articles by this author , Dae Chul JungDae Chul Jung More articles by this author , Young Deuk ChoiYoung Deuk Choi More articles by this author , and Kang Su ChoKang Su Cho More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2017.02.2647AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Post-coital gross hematuria (PCGH) is rare clinical symptom, but its clinical significance is still unclear with lack of standardization in the diagnosis and treatment. Herein, we introduced tertiary referral hospital experiences of men presenting with painless PCGH and tried to suggest a tentative management algorithm. METHODS Between 2009 and July 2016, data from 20 first-visit patients with PCGH were reviewed. After checking present illness and past history, further studies were performed by our tentative management algorithm for painless PCGH (Figure 1). At first, the general work-up for painless gross hematuria including laboratory test, CT, and urethrocystoscopy was performed. If no discernable reason for PCGH was identified, the focused work-up of PCGH for pelvic vasculatures was carried out as follows. Transrectal and penile ultrasonogrphay (USG) with Doppler study were performed for the evaluation of prostate, penis, and their relevant vasculatures. Diagnostic pelvic angiography and subsequent angioembolization were recommended at the physician′s discretion. RESULTS The median age was 47 years (31 ~ 67). After following of our tentative algorithm, there was no abnormal finding in 9 (45.0%), urological malignancies were found in 2 (10.0%; 1 bladder, 1 kidney). On urethrocystoscopy, urethral mucosal bulging suggestive of hemangioma was found in 3 (15.0%) (Figure 2A). Doppler USG revealed pelvic varicosities in 3 (15.0%), and pelvic arteriovenous malformation (AVM) in 3 (15.0%) (Figure 2B, C). Pelvic angiography was recommended to the latter 3 patients for confirmatory diagnosis. One refused angiography, but the other 2 patients underwent angiography and subsequent angioembolization for AVM (Figure 2D ~ F). CONCLUSIONS PCGH is a different disease entity from painless GH. The focused work-up for the pelvic vasculatures seems to be mandatory for the evaluation of these patients. The feasibility of our tentative algorithm should be evaluated by well designed clinical studies. © 2017FiguresReferencesRelatedDetails Volume 197Issue 4SApril 2017Page: e1140-e1141 Advertisement Copyright & Permissions© 2017MetricsAuthor Information Dong Hyuk Kang More articles by this author Jongsoo Lee More articles by this author Jong Won Kim More articles by this author Jae Yong Jeong More articles by this author Sung Ku Kang More articles by this author Jong Kyu Kwon More articles by this author Joo Yong Lee More articles by this author Dae Chul Jung More articles by this author Young Deuk Choi More articles by this author Kang Su Cho More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ..." @default.
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• W4236095191 title "MP84-06 TERTIARY REFERRAL HOSPITAL EXPERIENCES OF MEN PRESENTING WITH PAINLESS POST-COITAL GROSS HEMATURIA AND A SUGGESTION FOR TENTATIVE MANAGEMENT ALGORITHM" @default.
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