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Heather Borders, MD
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Fibroepithelial Polyp

Case Detail

Anatomy: Genitourinary
Junewick
Joseph Junewick, MD FACR
Diagnostic Category: Neoplasia Benign
Created: over 8 years ago
Updated: over 7 years ago
Tags: PEDS
Modality/Study Types: US
Activities:
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History

Infant male with urinary tract infection.


Case Images


Diagnosis

Fibroepithelial Polyp

Clinical Notes

Surgery – Filiform polyp arising from the veru montanum.

Pathology – Ulcerating/granulating squamous epithelium covering a fibrovascular stroma with occasional smooth muscle bundles.

Findings

US – Hypervascular filiform soft tissue mass protruding into the urinary bladder.

VCUG – Urinary bladder filling defect emaninating from the urethrovesical junction.

Discussion

Urethral polyps are a rare anomaly of the male urethra. Most commonly these originate from the veru montanum. Presenting symptoms include urinary retention, incomplete voiding, urgency, and hematuria. Etiology is controversial; congenital, inflammatory, and traumatic theories have been proposed. Differential diagnosis includes blood clot, cystitis cystica, papilloma and other mucosal disorders. Surgical excision is curative.

Reference

Isaac J, Snow B, Lowichik A. Fibroepithelial Polyp of the Prostatic Urethra in an Adolescent. J Ped Surg (2006); 41(12):e29-e31.



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