He Hongjia, Gui Meng, Li Kaisheng
Department of Minimally Invasive Urology, Shandong University Children's Hospital, Jinan, China.
Urol Case Rep. 2025 Aug 14;62:103156. doi: 10.1016/j.eucr.2025.103156. eCollection 2025 Sep.
A rare pediatric urethral mass presented with penile root pain, urinary stream narrowing, and acute urinary retention without trauma or infection history. Examination revealed abdominal distension and a tender penile base mass. Laboratory and imaging findings indicated inflammation and a cystic lesion. After catheterization and antibiotics, symptoms resolved completely, and no recurrence was noted. Although cystoscopic resection is commonly advised, this case highlights that conservative management may be effective in selected patients, potentially sparing children from invasive procedures.
一名罕见的小儿尿道肿物患者出现阴茎根部疼痛、尿流变细及急性尿潴留,无外伤或感染史。检查发现腹胀及阴茎根部有压痛性肿物。实验室及影像学检查结果提示炎症及囊性病变。经导尿及使用抗生素后,症状完全缓解,未出现复发。尽管通常建议行膀胱镜下切除术,但该病例表明,对于部分患者,保守治疗可能有效,可避免儿童接受侵入性操作。