65 / 492
16:20 - 16:23
S3-10
(CP)
PEDIATRIC POSTERIOR URETHRAL POLYPS: RARE CAUSE OF HEMATURIA AND
LOWER OBSTRUCTIVE UROPATHY IN KIDS. (REPORT OF 2 CASES)
Mohamed ELSAWY, Mamdouh ABDUL SALAM and Abdul Nasser ALSAID
Ibn Sina Hospital, Pediatric Urology, Farwanyia, KUWAIT
PURPOSE
Pediatric posterior urethral polyps are very rare benign pathological growth, it may present with hematuria and lower
obstructive symptoms, ultrasound and MCUG aid to diagnosis but cystoscopy is necessary to confirm the diagnosis and
to excise the lesion. Due to rarity of the reported cases, our intention was to report 2 more cases to the literature
describing symptoms, diagnostic evaluation and treatment.
MATERIAL AND METHODS
2 boys presented with interrupted stream and bloody spots on the underwear at the second year of life. Urine R/M
showed microscopic hematuria. Ultrasonography showed a well defined relatively hypodense , mobile, soft tissue
structure at the mid line of the urinary bladder in close relation to the bladder neck with mean volume of 0.4 ml
(suggestive of polyp), urinary bladder wall was not thick, there were no hydrouretronephrosis. MCUG showed good
capacity smooth wall bladder without any filling defect, no VUR, 1 boy was unable to void and the other one had a very
weak interrupted stream with significant post voiding residual. Cystourethroscopy revealed a well defined, smooth
walled urethral polyp arising from the proximal end of the right half of verumontanum, and it was removed using a 9
French resectoscope with cutting power 30, dormia basket was used to get it out.
RESULTS
Pathological analysis revealed Fibroepithelial polyp and patients were followed for a period of 5 years with no complain
or recurrence.
CONCLUSIONS
Posterior urethral polyps should be considered and investigated in boys presenting with hematuria and non-specific
voiding disturbances. Diagnosis and treatment are simple and done through Cystourethroscopy