PMC5012721_01
Preoperative image of the lesion surrounding the external urethral meatus
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Pelvic examination revealed hyperemic periurethral ulcerated protruded vulvar solid mass surrounding the external urethral meatus (Figure 1).
Postoperative image of external urethral meatus
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After urine culture was proved sterile, the urethral mass was completely excised under spinal anesthesia (Figure 2).
Hyperplasia on the papillary surface and koilocytotic changes in metaplastic squamous epithelial cells
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Histopathological examination revealed hyperplastic changes on the papillary surface and koilocytotic changes in metaplastic squamous epithelial cells (Figure 3) verifying the human papillomavirus infection.