Suprapubic Percutaneous Assisted Cystoscopic Excision of Posterior Urethral Fibroepithelial Polyps in Pediatric Patients
5 January 2019
Purpose: The aim of this study was to evaluate pediatric posterior urethral fibroepithelial polyps, their diagnosis and endoscopic treatments with suprapubic assisted transurethral polyp excision which is described by us.
Materials and Methods: We reviewed the charts of patients (n=6) who underwent suprapubic percutaneous assisted cystoscopic excision for posterior urethral fibroepithelial polyp from 2014 to 2019. Their data were retrospectively reviewed in terms of clinical features, diagnostic methods, endoscopic approaches, and postoperative results.
Results: The 6 patients, the mean age of 3 years (4 months-6 years), with a solitary polyp of posterior urethra diagnosed and removed by suprapubic percutaneous assisted cystoscopic excision in five years. The most common complaint was urinary tract infection (n:3). The urethral polyps were diagnosed by ultrasound and cystoscopy. There was no intraoperative or postoperative complication except for one patient with bleeding from the trocar site. All of the specimens after histopathology examinations showed fibroepithelial polyps and no recurrence was seen.
Conclusion: Posterior urethral polyps may cause obstructive effect in the urinary tract. The treatment should be performed with the least possible invasive method without injuring urethral wall. We believe that suprapubic percutaneous assisted cystoscopic resection, described by us is an easy, reliable and effective method for treatment procedure of posterior fibroepithelial urethral polyps.
- solitary urethral polyp
- endoscopic resection
- voiding cystourethrography.
How to Cite
Gleason PE, Kramer SA. Genitourinary polyps in children. Urology. 1994;44:106–9.
Carrión LP, Domínguez HC, Serrano DA, et al. Congenital fibroepithelial polyps of the urethra. Cir Pediatr. 2010;23(1):7-9.
Jain P, Shah H, Parelkar SV, et al. Posterior urethral polyps and review of literature. Indian J Urol. 2007;23(2):206-207.
Williams TR, Wagner BJ, Corse WR, et al. Fibroepithelial polyps of the urinary tract. Abdominal Imaging. 2002;27(2):217-21.
Peterson RO. Urethral polyp. In: Petersen RO, Sesterhenn IA, Davis CJ ,editors. Urologic Pathology. Philadelphia: JB Lipp. Complete Second Edition;1992. p. 404.
Kimche D, Lask D. Congenital polyp of the prostatic urethra. J Urol. 1982;127(1):134.
Downs RA. Congenital polyps of the prostatic urethra. A review of the literature and report of two cases. Br J Urol. 1970 Feb;42(1):76-85.
De Castro R, Campobasso P, Belloli G, et al. Solitary polyp of posterior urethra in children: report on seventeen cases. Eur J Pediatr Surg. 1993;3(2):92-6.
Klee LW, Rink RC, Gleason PE, et al. Urethral polyp presenting as interlabial mass in young girls. Urology. 1993;41(2):132-3.
Yamashita T, Masuda H, Yano M, et al. Female urethral fibroepithelial polyp with stricture. J Urol. 2004;171(1):357.
Walsh IK, Keane PF, Herron B. Benign urethral polyps. Br J Urol. 1993;72(6):937-8.
Kuppusami K, Moors DE. Fibrous polyp of the verumontanum. Can J Surg. 1968;11(3):388-91.
Demircan M, Ceran C, Karaman A, et al. Urethral polyps in children: a review of the literature and report of two cases. Int J Urol. 2006;13(6):841-3.
Kearney GP, Lebowitz RL, Retik AB. Obstructing polyps of the posterior urethra
in boys: embryology and management. J Urol. 1979;122(6):802-4.
Eziyi AK, Helmy TE, Sarhan OM, et al. Management of male urethral polyps in children: experience with four cases. Afr J Paediatr Surg. 2009;6(1):49-51.
Murshidi MS, Akl K. A case of urinary bladder benign polyp treated successfully by resection in a child. Ann Saudi Med. 2007;27(1):52.
Bruijnes E, de Wall JG, Scholtmeijer RJ, et al. Congenital polyp of the prostatic urethra in childhood. Report of 3 cases and review of literature. Urol Int. 1985;40(5):287-91.
Schäfer J, Porkolab L, Pinter A. Congenital urethral polyps. A rare cause of obstructive uropathy in childhood. Urologe A. 1989;28(2):80-3.
Akbarzadeh A, Khorramirouz R, Kajbafzadeh AM. Congenital urethral polyps in children: report of 18 patients and review of literature. J Pediatr Surg. 2014;49(5):835-9.
Tsuzuki T, Epstein JI. Fibroepithelial polyp of the lower urinary tract in adults. Am J Surg Pathol. 2005;29(4):460-6.
- Abstract Viewed: 0 times
- Just Accepted/5688 Downloaded: 0 times