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Atwa AM, Abdelhalim A, Edwan M, Soltan M, Hashim A, Abdelhameed M, Helmy T, Hafez A, Dawaba M. Holmium Laser En Bloc Resection of Urethral Polyps in Children: A Case Series. J Endourol Case Rep 2020; 6:457-460. [PMID: 33457701 DOI: 10.1089/cren.2020.0099] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Background: Urethral fibroepithelial polyps (FEPs) are scarce benign mesodermal tumors arising mainly from the posterior urethra in boys. FEPs are rarely reported in girls. There is no consensus regarding their etiology; however, some authors attribute their presence to abnormal mesodermal involution. FEPs have different clinical presentations, including acute urinary retention (AUR), difficult micturition, hematuria, and recurrent urinary tract infection in addition to interlabial mass in girls. Radiologic studies are usually insufficient for diagnosis. Cystourethroscopy and histopathologic examination are considered the diagnostic tool of choice. In this report, we introduce Holmium Laser En Bloc Resection of Urethral Polyp (HoLERUP) as an alternative technique to conventional and en bloc electric resection. Case Presentation: Three boys with benign urethral polyps (UPs) presented with AUR, difficult micturition, and hematuria. The diagnosis of UP was confirmed by means of cystourethroscopy. HoLERUP was carried out for all three of them and histopathologic examination revealed FEP in two cases and an inflammatory polyp in the third. Conclusion: UPs should be considered in the differential diagnosis of children presenting with AUR, difficult micturition, and hematuria. HoLERUP overcomes the limitations of conventional resection and can be performed when en bloc electric resection is not feasible.
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Affiliation(s)
- Ahmed M Atwa
- Urology Department, Mansoura Urology and Nephrology Center, Mansoura University, Mansoura, Egypt
| | - Ahmed Abdelhalim
- Urology Department, Mansoura Urology and Nephrology Center, Mansoura University, Mansoura, Egypt
| | - Mohamed Edwan
- Urology Department, Mansoura Urology and Nephrology Center, Mansoura University, Mansoura, Egypt
| | - Mohamed Soltan
- Urology Department, Mansoura Urology and Nephrology Center, Mansoura University, Mansoura, Egypt
| | - Abdelwahab Hashim
- Urology Department, Mansoura Urology and Nephrology Center, Mansoura University, Mansoura, Egypt
| | - Mohamed Abdelhameed
- Pathology Department, Mansoura Urology and Nephrology Center, Mansoura University, Mansoura, Egypt
| | - Tamer Helmy
- Urology Department, Mansoura Urology and Nephrology Center, Mansoura University, Mansoura, Egypt
| | - Ashraf Hafez
- Urology Department, Mansoura Urology and Nephrology Center, Mansoura University, Mansoura, Egypt
| | - Mohamed Dawaba
- Urology Department, Mansoura Urology and Nephrology Center, Mansoura University, Mansoura, Egypt
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Borges-Dias M, Lamas-Pinheiro R, Carmo L, Ramalho C, Fragoso A, Mariz C, Estevão-Costa J. Urethral polyp – A cause of neonatal urinary obstruction. JOURNAL OF PEDIATRIC SURGERY CASE REPORTS 2017. [DOI: 10.1016/j.epsc.2016.11.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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Tsuang W, Rapp DE, Feinstein KA, Orvieto MA, Close CE. Urethral polyp in asymptomatic male infant with prenatal hydronephrosis. Urology 2006; 67:1085.e9-11. [PMID: 16698386 DOI: 10.1016/j.urology.2005.11.047] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2005] [Revised: 10/26/2005] [Accepted: 11/22/2005] [Indexed: 11/16/2022]
Abstract
Congenital posterior urethral polyps are rare, benign lesions of the posterior urethra. We report a 1-day-old newborn boy with a solitary fibroepithelial posterior urethral polyp who presented with a history of prenatal mild hydronephrosis, subsequently associated with bladder wall thickening on ultrasonography.
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Affiliation(s)
- Wayne Tsuang
- Department of Surgery, University of Chicago Pritzker School of Medicine, Chicago, Illinois, USA
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