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=== Hemangioma === * '''Epidemiology''' ** '''More common in males''' ** Most present in the 2nd or 3rd decade of life * Diagnosis and evaluation ** Most common clinical presentations include: *** Intermittent hematuria *** Bloody urethral discharge *** Hematospermia ** '''Diagnosis and Evaluation''' *** '''Cystoscopy may underestimate the overall extent of the hemangioma''' *** '''MRI may be helpful in select cases to better delineate the extent of the lesion''' * '''Management''' ** '''Smaller hemangiomas are generally treated with TUR fulguration or laser''' *** '''Recurrent bleeding as a result of inadequate ablation may occur.''' In this setting, or when the hemangioma is more extensive, '''open excision''' with one- or two-stage urethral reconstruction '''may be required'''
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