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Urethral polyp in a 1-month-old child
Giampiero Beluffi1, Francesca Berton, Giada Gola
1Section of Paediatric Radiology, Department of Radiodiagnosis, IRCCS Policlinico S. Matteo, Piazzale Golgi, 2, I-27100 Pavia PV, Italy. g.beluffi@smatteo.pv.it
Pediatric Radiology
|March 12, 2005
Summary
Urethral polyps are rare in infants and can cause urinary issues. This case highlights a large urethral polyp in a 1-month-old requiring surgical removal via cystotomy.
Area of Science:
- Pediatric Urology
- Congenital Anomalies
Background:
- Urethral polyps are uncommon in pediatric patients, especially neonates.
- Clinical signs include obstruction, voiding dysfunction, and hematuria, often associated with congenital urinary tract anomalies.
Observation:
- A 1-month-old male infant presented with a history of antenatally diagnosed left ectopic pelvic kidney and postnatal urinary tract infection.
- Voiding cystourethrography revealed a trabeculated bladder and a mobile filling defect in the posterior urethra.
Findings:
- The filling defect was identified as a large urethral polyp.
- Surgical intervention via cystotomy was required for successful polyp removal due to its size.
Implications:
- This case underscores the importance of considering urethral polyps in infants presenting with urinary symptoms, even without overt signs of obstruction.
- Early diagnosis and appropriate surgical management, such as cystotomy for large polyps, are crucial for favorable outcomes in neonates.