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Published on: October 12, 2017

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
PubMed

Insights

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.

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