Department of Diagnostic Pathology, Japanese Red Cross Kochi Hospital, Kochi-shi, Japan
Department of Urology, Japanese Red Cross Kochi Hospital, Kochi-shi, Japan.
BMJ Case Rep. 2023 Feb 2;16(2):e253151. doi: 10.1136/bcr-2022-253151.
We describe a man in his 60s with an incidentally detected urethral polyp located in the middle section of his penile shaft. The patient had been suffering from urinary retention for 9 years due to benign prostatic hyperplasia. He was initiated on clean intermittent catheterisation to drain urine 1 year before the detection of the urethral polyp. Holmium laser nucleation of the prostate was performed, and an anterior urethral polyp (5 mm in diameter) was resected. Pathology indicated that the urethral polyp was a fibroepithelial polyp with prostate-specific antigen-immunoreactive heterotopic prostatic glands. There were no problems with urination 6 months after surgery. Fibroepithelial urethral polyps are usually congenital and are rarely described in adults. The clinicopathological features of this polyp, with its uniquely associated minor prostatic glands, are presented.
我们描述了一位 60 多岁的男性患者,其阴茎中段偶然发现尿道息肉。由于良性前列腺增生,该患者 9 年来一直存在尿潴留。在检测到尿道息肉前 1 年,他开始接受清洁间歇导尿以排尿。行钬激光前列腺剜除术,切除了一个直径为 5 毫米的尿道前息肉。病理报告提示尿道息肉为纤维上皮性息肉,伴有前列腺特异性抗原免疫反应性异位前列腺腺泡。术后 6 个月排尿无困难。纤维上皮性尿道息肉通常为先天性,在成人中很少见。本文报道了一例具有独特伴发小前列腺腺泡的该息肉的临床病理特征。