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Fibroepithelial polyp causing urethral obstruction: Diagnosis by cystourethrogram

David H Ballard1, Kyle O Rove2, Douglas E Coplen2

  • 1Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, MO, USA.

Clinical Imaging
|May 26, 2018
PubMed

Insights

Urethral fibroepithelial polyps are rare benign tumors in young males. This case highlights successful endoscopic management of a urethral polyp causing acute urinary retention in a 3-year-old boy.

Area of Science:

  • Pediatric Urology
  • Uropathology

Background:

  • Fibroepithelial polyps are uncommon benign urethral tumors, primarily affecting pediatric and adolescent males.
  • These lesions can lead to significant lower urinary tract symptoms.

Observation:

  • A 3-year-old boy presented with acute urinary retention.
  • Imaging revealed a large urethral fibroepithelial polyp causing a filling defect on voiding cystourethrogram.

Findings:

  • The urethral polyp was successfully diagnosed and treated.
  • Endoscopic transurethral resection provided effective management for the pediatric patient.

Implications:

  • This case underscores the importance of considering fibroepithelial polyps in the differential diagnosis of urinary retention in children.
  • Minimally invasive endoscopic techniques are effective for managing urethral fibroepithelial polyps in pediatric patients.

Keywords:
CystourethrogramFibroepithelial polypPediatric radiologyPediatric urologyVoiding cystourethrogram

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