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Treatment of bilateral fibroepithelial polyps in a child
Rahuldev S Bhalla1, David A Schulsinger, Robert J Wasnick
1Department of Urology, SUNY Stony Brook University Hospital and Medical Center, Stony Brook, New York 11794-1205, USA. Bhalla73@yahoo.com
Insights
Bilateral ureteral fibroepithelial polyps, rare benign tumors, were successfully treated in a child. One polyp required segmental resection, while the other was removed using ureteroscopic laser surgery.
Area of Science:
- Urology
- Pediatric Surgery
- Oncology
Background:
- Ureteral fibroepithelial polyps are rare, benign stromal lesions covered by transitional epithelium.
- Traditional treatment for symptomatic polyps involved open surgery and segmental resection.
Observation:
- This report details the first documented case of bilateral ureteral fibroepithelial polyps in a pediatric patient.
- The child presented with polyps in both ureters.
Findings:
- One bilateral polyp was successfully treated with traditional segmental resection.
- The contralateral polyp was effectively managed using minimally invasive ureteroscopic laser ablation.
Implications:
- This case highlights the successful application of both open and minimally invasive techniques for bilateral ureteral polyps in children.
- It suggests that ureteroscopic laser surgery is a viable option for treating pediatric ureteral fibroepithelial polyps, potentially reducing morbidity.
Abstract:
Ureteral fibroepithelial polyps are extremely rare benign lesions composed of stroma with a surface of normal transitional epithelium. Traditionally, symptomatic polyps were treated with open exploration and segmental resection. We describe the first case of bilateral polyps in a child. One was removed by segmental resection and the other by ureteroscopic laser surgery.