Tayib Abdulmalik M, Al-Maghrabi Jaudah A, Mosli Hisham A
Department of Urology, King Abdul-Aziz University Hospital, PO Box 122762, Jeddah 21332, Kingdom of Saudi Arabia.
Saudi Med J. 2004 Aug;25(8):1115-6.
Congenital posterior urethral polyps are rare benign lesions that can cause a variety of symptoms in young boys, the diagnosis is usually made by cystourethrogram and ultrasonography where the polyp appears as a soft tissue mass arising at the base of the urinary bladder. We present a case of verumontanum polyp in a 7-year-old boy who presented to us in October 2001 with terminal hematuria, dysuria, interrupted stream and suprapubic pain. The polyp was diagnosed by ultrasonography and cystourethrogram. Transurethral resection of the polyp was performed and pathological assessment revealed a fibroepithelial lesion which is consistent with congenital posterior urethral polyp. After 18 months follow up, the patient was free of symptoms. We reviewed the literature to identify the presentation, diagnosis, treatment options and prognosis of these polyps. In the past 20 years the posterior urethral polyp has become more common than before, and it should be considered in boys with lower urinary tract dysfunction and hematuria.
先天性后尿道息肉是一种罕见的良性病变，可在幼年男性中引起多种症状，通常通过膀胱尿道造影和超声检查进行诊断，息肉在检查中表现为起源于膀胱底部的软组织肿块。我们报告一例7岁男孩的精阜息肉病例，该男孩于2001年10月因终末血尿、排尿困难、尿流中断及耻骨上区疼痛前来就诊。通过超声检查和膀胱尿道造影诊断出息肉。对息肉进行了经尿道切除术，病理评估显示为纤维上皮病变，符合先天性后尿道息肉。随访18个月后，患者无症状。我们查阅了文献以确定这些息肉的临床表现、诊断、治疗选择和预后。在过去20年中，后尿道息肉比以前更为常见，对于有下尿路功能障碍和血尿的男孩应考虑此病。
