Urethral polyps are rare benign pathologies seen in the male posterior urethra, more frequently originating from verumontanum. In this article, we aimed to discuss diagnosis and treatment of a urethral polyp causing hematuria and urinary infection in a 3-month-old male infant. This is the first case in the literature in which a urethral polyp is treated with Holmium yttrium-aluminum-garnet (YAG) laser.
The patient was a 3-month-old male infant, and complains were hematuria and crying during micturition. Ultrasonography and voiding cystourethrogram were used for diagnosis. Urethral polyp was observed on urethrocystoscopy. Ablation was performed with a newborn cystoscope.
Urethral polyp can cause hematuria and urinary obstruction and should be considered in the differential diagnosis of pathologies such as posterior urethral valve and cecoureterocele that could cause infravesical obstruction. Holmium-YAG laser is a good choice of treatment with easy application possibilities using a newborn cystoscope, especially for newborns and infants who have thin urethra.
Journal of endourology case reports. 2016 Apr 01*** epublish ***
Fatih Ozkaya, Ercument Keskin, Turgut Yapanoglu, Senol Adanur, Tevfik Ziypak, Mehmet Sefa Altay, Yılmaz Aksoy
Department of Urology, Erzurum Regional Training and Research Hospital , Erzurum, Turkey ., Department of Urology, Mengucekgazi Training and Research Hospital, Erzincan University , Erzincan, Turkey ., Department of Urology, Ataturk University Medical Faculty , Erzurum, Turkey .