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Related Experiment Videos

[Macrohaematuria in Children].

Franziska E Müller-Semaan1, Stefan C Müller1

  • 1Klinik und Poliklinik für Urologie und Kinderurologie, Universitätsklinikum Bonn.

Aktuelle Urologie
|April 14, 2017
PubMed
Summary

Posterior urethritis, a benign condition causing blood spots in underwear in young boys, often resolves spontaneously. Behavioral intervention with biofeedback therapy shows promise for treatment.

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Area of Science:

  • Pediatric Urology
  • Urology
  • Pediatrics

Background:

  • Posterior urethritis is a potential cause of asymptomatic hematuria in prepubescent boys.
  • Characterized by blood spots in underwear without laboratory or radiologic findings, it represents a benign posterior urethral lesion.

Purpose of the Study:

  • To review the diagnosis, management, and potential causes of posterior urethritis in children.
  • To evaluate the efficacy of conservative management and behavioral interventions.

Main Methods:

  • Literature review of posterior urethritis in pediatric patients.
  • Analysis of diagnostic challenges, including the risks associated with urethrocystoscopy.
  • Assessment of treatment outcomes for conservative and behavioral approaches.

Main Results:

  • Posterior urethritis typically presents with isolated hematuria, often unnoticed by the child.
  • Urethrocystoscopy, while diagnostic, carries a risk of urethral strictures.
  • A 'wait and see' approach is often effective due to spontaneous resolution.
  • Detrusor-sphincter dyssynergia is a likely etiology, with biofeedback therapy showing positive results.

Conclusions:

  • Posterior urethritis is a self-limiting condition in most cases.
  • Conservative management and biofeedback therapy are recommended, avoiding invasive procedures when possible.
  • Further research into the pathophysiology and optimal management strategies is warranted.

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