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Posterior urethral polyp causing haematuria in children
C Noviello1, G Cobellis, M Romano
1Pediatric Surgery Unit, Academic Children's Hospital, Ancona, Italy. carmine.noviello@libero.it
La Pediatria Medica E Chirurgica : Medical and Surgical Pediatrics
|December 8, 2011
Summary
Posterior urethral hemangioma (PUH) is a rare congenital lesion causing urinary symptoms in children. Urethrocystoscopy is crucial for diagnosing PUH, enabling both visualization and treatment.
Area of Science:
- Pediatric Urology
- Vascular Malformations
Background:
- Posterior urethral hemangioma (PUH) is a rare congenital vascular lesion.
- It presents as a polypoid or papillary growth in the prostatic urethra.
- PUH can cause various urinary symptoms in children, sometimes incidentally discovered.
Observation:
- A 1-year-old boy presented with persistent hematuria.
- Initial cystoscopy failed to identify the source of bleeding.
- A subsequent, detailed urethrocystoscopy revealed a prostatic urethral polyp.
Findings:
- Pathological assessment confirmed the prostatic urethral polyp as a posterior urethral hemangioma (PUH).
- Transurethral resection was successfully performed for diagnosis and treatment.
Implications:
- This case highlights the diagnostic utility of detailed urethrocystoscopy for PUH.
- Early diagnosis and surgical intervention can effectively manage PUH in pediatric patients.
- Emphasizes the importance of thorough examination in cases of unexplained pediatric hematuria.
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