Urethral polyps in children: A review of the literature and report of two cases

Abstract

A solitary polyp of the urethra is a rare benign fibroepithelial growth and has often been described in boys. Its occurrence in girls is exceptional. In the present paper, two children with solitary polyps of the urethra are presented and discussed. The first case was an 18-month-old boy with a posterior urethral polyp arising from the posterior urethra and extending to the bladder. It was excised by cystostomy because of an unsuccessful endoscopic removal attempt. The second case was a 2-year-old girl with an interlabial mass arising from the posterior wall of urethra and protruding from the external urethral meatus. It was excised transurethrally.

MRI of female urethra and periurethral pathologies

“…Fibroepithelial polyps typically occur in males and present in childhood [24]. There are only case reports of occurrence in women [25]. These are usually pedunculated lesions arising from the bladder neck (or penile urethra in males).…”

Mimickers and tumours in the lower urinary tract: Need for a more efficient vigilance?

“…6 The most common presenting symptoms include gross hematuria, urinary retention, straining to void, polyuria and lower abdominal pain. 5 Hemangiomas of the bladder have been frequently reported, and although mostly benign, 7 significant bleeding has been reported. 8 Papillomas are very uncommon, accounting for only 2% of adult transitional cell carcinomas.…”

“…Fibroepithelial polyps have a variety of proposed etiologies including: congenital development, infectious, inflammatory, or secondary to an obstructive process. 5 The most common etiology in the pediatric population is thought to be congenital, and occurs primarily in the posterior urethra or bladder. 6 The most common presenting symptoms include gross hematuria, urinary retention, straining to void, polyuria and lower abdominal pain.…”

Fibroepithelial polyp of the bladder neck in children

“…The finding is a polypoid lesion at bladder neck or at the prostatic urethra. Because of their location, as they achieve large size, they can produce a variety of urinary symptoms including dysuria, haematuria, urinary tract infections, and obstruction, which may progress to urinary retention [1][2][3][4][5]. The differential diagnosis in these cases is extensive.…”

“…Fibroepithelial polyp of the urinary bladder is a very rare benign congenital lesion diagnosed in the paediatric population mainly because of diverse urinary symptoms [1][2][3][4][5].…”