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Fibroepithelial polyp of the prostatic urethra in an adolescent

2006; Elsevier BV; Volume: 41; Issue: 12 Linguagem: Inglês

10.1016/j.jpedsurg.2006.09.066

1531-5037

Jorge Isaac, Brent W. Snow, Amy Lowichik,

Urinary and Genital Oncology Studies

Abstract Benign fibroepithelial polyp of the prostatic urethra is a rare congenital lesion most commonly diagnosed in the pediatric population because of diverse urinary symptoms. We report a case of a 16-year-old adolescent boy who presented with urinary retention. Imaging and endoscopic studies confirmed the presence of a polypoid lesion at the bladder base/posterior prostatic urethra. Following transurethral resection of this polypoid mass, the diagnosis of a congenital fibroepithelial polyp of the prostatic urethra was rendered by pathologic evaluation. Although this is considered a benign lesion with no previous reports of recurrence or malignant behavior, it produces dramatic urinary symptoms in the pediatric population with a wide differential diagnosis. Imaging and endoscopic findings may suggest a malignancy and are not sufficient to render a precise diagnosis, which can only be made by pathologic examination.