Local Treatment of Hemangioma of the Urogenital Tract

Abstract

Hemangioma of the bladder is uncommon, occurring most often in children. It constitutes six promille of all bladder tumors.¹ The patient usually presents with intermittent gross, painless hematuria and is often anemic. Of the cavernous hemangiomas anywhere in the body, 90 % resolve completely or partially within time.² However, when they compress vital structures or cause severe hemorrhage or secondary infection, therapy can be necessary. Here we present a case of a hemangioma of the bladder and vagina which had to be treated because of life-threatening bleeding. Surgical excision would have been very mutilating. We induced involution of the tumor with local application of prednisolone, a hitherto unpublished therapy for hemangioma of the bladder.