Congenital urethral polyp in children

Two cases of congenital urethral polyp are presented. The diagnostic value of voiding cystourethrography is emphasized.     

Congenital posterior urethral polyps

Congenital posterior urethral polyps are benign growths that can cause a variety of symptoms in young boys. They are pathologically distinct growths usually discovered by voiding cystourethrography. We present 5 cases of congenital posterior urethral polyps, and discuss the presentation and pathophysiological status of these lesions. These lesions must be considered in the differential diagnosis of voiding dysfunction in young boys.     

Congenital posterior urethral valves in adult males

Twenty-six cases of congenital urethral valvular obstruction in men ages twenty-one tosixty-seven are reported. The majority had irritative symptoms of the lower urinary tract associated with chronic prostatitis, and 10 complained of obstructive symptoms. Urinalysis was normal in 20, and intravenous pyelogram showed normal upper tracts in 22 cases and significant postvoiding residual urine in only 5. Voiding studies, particularly urodynamics, were the most valuable diagnostic tool. Chronic posterior urethritis and prostatitis were found in 85 per cent of the cases, and a 76-per cent incidence of moderate or severe fibrous bladder neck contracture occurred in patients over forty years of age.     

Congenital posterior urethral valves in an adult

An adult male with posterior urethral valves who had obstructive urinary symptoms and painless gross hematuria is presented. The diagnosis, development, and treatment of posterior urethral valves is discussed. The importance of also treating the hypertrophied bladder neck is stressed.     

Anterior urethral polyp in a child

Posterior urethral polyps are unusual but have been described on multiple occasions.^1,2 We are unable to find a report of a urethral polyp occurring in the anterior urethra of a child. A body with an anterior urethral polyp is the basis for this report.     

Congenital posterior urethral membrane: variable morphological expression

PURPOSE: We assessed the variable morphological expression of posterior urethral membrane by reviewing video recorded cystoscopy. MATERIALS AND METHODS: Between December 1990 and July 2000, 86 males newborn to 15 years old undergoing cystoscopy for urethral anomalies were identified with a posterior urethral membrane. Recorded cystoscopy was reviewed and membrane degree was graded as minimal, moderate or severe. RESULTS: Of the 86 boys with a membranous lesion in the posterior urethra the condition was considered severe in 40, moderate in 21 and minimal in 21. Four patients on whom data were too inadequately recorded to be properly classified were excluded from study. CONCLUSIONS: This study demonstrates that congenital posterior urethral membrane represents a spectrum of lesions and may vary in the degree of obstruction.     

Congenital anterior urethral diverticulum in an adolescent boy with obstructive urinary symptoms

A case of anterior urethral diverticulum in a 12 years old boy who presented with obstructive urinary symptoms is described. The diagnosis was made on retrograde urethrography. Open diverticulectomy and urethroplasty was done with complete excision of obstructing anterior valve. The clinical presentation, diagnosis, and management of this rare condition is discussed.     

Giant congenital urethral polyp

A case of giant congenital urethral polyp on a female newborn is reported. The lesion appeared as a large fleshy, exuberant tumor at the introitus between the labia minora. The mass was constituted by orderly arranged layers of transitional and squamous epithelium outside and loose connective tissue and smooth muscle in its core. The patient was treated by simple excision of the lesion.     

Prolapsing congenital polyp of posterior urethra and urethral duplication associated with imperforate anus

We report the first case of a boy with a prolapsing congenital polyp of the posterior urethra associated with urethral duplication and imperforate anus.     

Posterior urethral fibroepithelial polyp in children

A fibroepithelial polyp in the posterior urethra is a uncommon lesion. It is seen more frequently in children than in adults. It should be considered whenever an infant or a child presents with micturition disorders, particularly in the case of urinary retention. Contribution of two cases, both in children 2- and 5-year old.     

Posterior urethral polyp: a recurrent case]

A 38-year-old man was admitted to our hospital complaining of difficult, frequent urination to our hospital. Transrectal echography and digital examination showed chronic prostatitis. He was treated with medication for chronic prostatitis but his condition did not improve. Retrograde urethrography revealed an obstructive change in the prostatic urethra and urethroscopic findings showed a urethral tumor in the posterior urethra. Transurethral resection of the tumor was performed. Pathological diagnosis of the urethral tumor indicated a urethral caruncle. After one year, the patient was readmitted to our hospital with the same complaints as before. Urethroscopic findings revealed the recurrence of a urethral polyp in the posterior urethra. Transurethral resection of the polyp was performed. Pathological findings revealed that the inner structure of the polyp showed a prostatic glandular pattern that after staining with anti-prostatic acid phosphatase antibody. The final diagnosis was that the polyp had a prostatic-type epithelium in the prostatic urethra.