Bursa Health Sciences University, Yuksek Ihtisas Training and Research Hospital,.
Urol J. 2020 Aug 11;18(1):86-91. doi: 10.22037/uj.v16i7.5688.
The aim of this study was to evaluate pediatric posterior urethral fibroepithelial polyps, their diagnosis and endoscopic treatments with suprapubic assisted transurethral polyp excision which is described by us.
We reviewed the charts of patients (n=6) who underwent suprapubic percutaneous assisted cystoscopic excision for posterior urethral fibroepithelial polyp from 2014 to 2019. Their data were retrospectively reviewed in terms of clinical features, diagnostic methods, endoscopic approaches, and postoperative results.
The 6 patients, the mean age of 3 years (4 months-6 years), with a solitary polyp of posterior urethra diagnosed and removed by suprapubic percutaneous assisted cystoscopic excision in five years. The most common complaint was urinary tract infection (n:3). The urethral polyps were diagnosed by ultrasound and cystoscopy. There was no intraoperative or postoperative complication except for one patient with bleeding from the trocar site. All of the specimens after histopathology examinations showed fibroepithelial polyps and no recurrence was seen.
Posterior urethral polyps may cause obstructive effect in the urinary tract. The treatment should be performed with the least possible invasive method without injuring urethral wall. We believe that suprapubic percutaneous assisted cystoscopic resection, described by us is an easy, reliable and effective method for treatment procedure of posterior fibroepithelial urethral polyps.
本研究旨在评估小儿后尿道纤维上皮息肉及其诊断，并介绍经耻骨上辅助经尿道息肉切除术的内镜治疗方法。
回顾性分析 2014 年至 2019 年间，6 例行耻骨上经皮辅助膀胱镜切除后尿道纤维上皮息肉的患者的临床资料，分析其临床特征、诊断方法、内镜治疗方法和术后结果。
6 例患者平均年龄 3 岁（4 个月-6 岁），均为单一后尿道息肉，经耻骨上经皮辅助膀胱镜切除。最常见的症状是尿路感染（n=3）。尿道息肉通过超声和膀胱镜诊断。除 1 例患者经皮穿刺点出血外，无术中或术后并发症。所有标本均经组织病理学检查，均为纤维上皮性息肉，未见复发。
后尿道息肉可引起尿路梗阻。治疗应采用尽可能微创的方法，避免损伤尿道壁。我们认为，经耻骨上经皮辅助膀胱镜切除是一种治疗后尿道纤维上皮性息肉的简单、可靠、有效的方法。
