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Genitourinary polyps in children

P E Gleason1, S A Kramer

  • 1Department of Urology, Mayo Clinic, Rochester, Minnesota.

Urology
|July 1, 1994
PubMed
Summary
This summary is machine-generated.

Genitourinary polyps in children, though rare, present with hematuria or urinary obstruction. These benign growths are successfully treated with surgical excision, with no reported recurrences.

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Area of Science:

  • Pediatric Urology
  • Genitourinary Pathology

Background:

  • Genitourinary polyps are uncommon in pediatric patients.
  • Understanding their presentation and management is crucial for timely diagnosis and treatment.

Purpose of the Study:

  • To review the clinical presentation, diagnostic methods, treatment strategies, and long-term outcomes of genitourinary polyps in children.
  • To analyze the natural history and recurrence rates of these pediatric genitourinary lesions.

Main Methods:

  • Retrospective chart review of children under 16 with symptomatic genitourinary polyps (1957-1992).
  • Analysis of patient demographics, polyp location, diagnostic imaging (excretory urography, voiding cystourethrography), endoscopic findings, and treatment modalities.
  • Inclusion of literature review and long-term follow-up data.

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Main Results:

  • Common symptoms included hematuria (9 patients) and urinary tract obstruction (9 patients).
  • Ureteral polyps (4 patients) were managed with ureterectomy or excision; urethral polyps (12 patients) were treated successfully with transurethral resection.
  • Diagnostic tools like excretory urography and voiding cystourethrography were effective in identifying polyps.

Conclusions:

  • Genitourinary polyps in children necessitate a high index of suspicion for diagnosis.
  • Diagnostic modalities include excretory urography, voiding cystourethrography, and endoscopy.
  • These polyps exhibit benign biologic activity with no recurrences after complete excision.