Congenital Urethral Polyp as cause of urinary retention in the pediatric population. Presentation of a rare case

Abstract

Urethral polyps (UPs) constitute a rare congenital disease in the pediatric population. They are benign lesions that are associated with a great variety of symptoms including dysuria, decreased urine stream, urinary retention, urinary tract infections, vesicourethral reflux, and even enuresis. The aim of this study was to present one case of a UP in a 20-month-old boy. The boy was referred to the emergency department of a pediatric hospital due to acute urinary retention. The performed ultrasound detected an increased bladder wall and the presence of a bladder diverticulum. In addition, in the voiding cystourethrogram, a filling defect in the posterior urethra was noticed. The performed urethrocystoscopy detected one polypoid lesion of about 1 cm in length which was excised using an 11F resectoscope. The patient was followed up for 6 years without recurrence or additional symptoms.