case_images: PMC5012721_01
case_images: Preoperative image of the lesion surrounding the external urethral meatus
case_images: PAMJ-24-87-g001.jpg
case_images: PMC5012721_01_PAMJ-24-87-g001.jpg
case_images: F0001
case_images: Pelvic examination revealed hyperemic periurethral ulcerated protruded vulvar solid mass surrounding the external urethral meatus (Figure 1).
case_images: Postoperative image of external urethral meatus
case_images: PAMJ-24-87-g002.jpg
case_images: PMC5012721_01_PAMJ-24-87-g002.jpg
case_images: F0002
case_images: After urine culture was proved sterile, the urethral mass was completely excised under spinal anesthesia (Figure 2).
case_images: Hyperplasia on the papillary surface and koilocytotic changes in metaplastic squamous epithelial cells
case_images: PAMJ-24-87-g003.jpg
case_images: PMC5012721_01_PAMJ-24-87-g003.jpg
case_images: F0003
case_images: Histopathological examination revealed hyperplastic changes on the papillary surface and koilocytotic changes in metaplastic squamous epithelial cells (Figure 3) verifying the human papillomavirus infection.