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Published on: August 9, 2012

Fibroepithelial polyp of the bladder neck in children

Ala Natsheh1, Orly Prat, Ofer Z Shenfeld

  • 1Department of Urology, Shaare Zedek Medical Centre, Hebrew University, 91031, Jerusalem, Israel.

Pediatric Surgery International
|December 22, 2007
PubMed

Insights

Congenital fibroepithelial polyps are rare bladder and prostatic urethra growths in children. Surgical removal effectively resolves urinary symptoms, but long-term monitoring is recommended due to potential recurrence.

Area of Science:

  • Pediatric Urology
  • Congenital Anomalies
  • Surgical Pathology

Background:

  • Benign fibroepithelial polyps are uncommon congenital malformations affecting the pediatric prostatic urethra and bladder.
  • These lesions often manifest with varied urinary symptoms, leading to diagnosis in childhood.

Observation:

  • Two pediatric cases are presented: a 2-year-old boy with hematuria and voiding issues, and a 5-year-old boy with acute urinary retention.
  • Imaging and endoscopic evaluations confirmed the presence of polypoid lesions in both patients.

Findings:

  • Transurethral resection was performed for the identified polypoid lesions.
  • Pathologic examination confirmed the diagnosis of congenital fibroepithelial polyps.
  • Post-operative follow-up at 1 and 5 years showed complete resolution of urinary symptoms and unremarkable imaging.

Implications:

  • Congenital fibroepithelial polyps can be successfully treated with surgical resection, alleviating urinary symptoms in pediatric patients.
  • Despite successful initial treatment, the potential for recurrence necessitates long-term surveillance in affected children.

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