[Fibrous polyp of the posterior urethra. 3 cases (author's transl)]

The authors report 3 new cases of fibrous polyps of the posterior urethra, all implanted very high on the posterior surface of the posterior urethra either on the veru montanum (1 case) or immediately below the bladder neck. Histologically, the benign lesion consisted of a connective tissue axis, fibrous and vascular, surrounded by a transitional type epithelium. Dysuria, bloody urethrorrhagia, initial haematuria, bladder retention and infections were the presenting features of the lesion which can be diagnosed only by urethrographic films before endoscopy. The characteristic picture is a filling defect, sometimes cervico-urethral and sometimes purely urethral, within in the most typical cases the outline of the pedicle visible. The authors treated 3 cases by opening the bladder and drawing the polyp through the bladder neck, sectioning it and ensuring haemostasis of the base. Encouraged by these good results, the authors now prefer this method to endoscopic resection. This is followed by a review of the literature and an extensive bibliography.