Management of bladder fibroepithelial polyps in pediatric patients in a second level hospital

Authors

DOI:

https://doi.org/10.48193/zysgza55

Keywords:

bladder tumour, fibroepithelial polyp, transurethral resection of bladder

Abstract

Background: they are benign mesodermal tumours, rarely found in babies and children. The etiology is still unknown. These lesions are often seen in the renal pelvis and distal ureter. In addition to hematuria. They are often congenital in children, while in adults they are caused by inflammation, chronic irritation and infection. They manifest in children with an average age of 9 years and have a strong male predominance.

Clinical case: a 11-year-old female patient comes to the clinic due to dysuria, urinary urgency and hematuria, for 3 weeks, with pain in the pelvic region, she denies other associated symptoms. A renal bladder ultrasound reported an exophytic lesion, pathological general urine test, simple and contrast-enhanced tomography with excretory phase with a tumor measuring 3.2 x 2.8 x 2.8 cm, transurethral resection of bladder tumour without complications.

Clinical implications: histopathological result is reported which describes without evidence of malignancy, a multifragmentation fibroepithelial polyp, a benign condition with a favorable evolution.

Conclusions: hematuria is the most common symptom. The differential diagnosis between bladder carcinoma and polyps is difficult. Pathology is the means to differentiate between these two conditions. For treatment, transurethral resection is the most effective operation.

Author Biographies

  • Mauricio Chaidez-Mendivil, Secretaría de Salud, Hospital General de Culiacán, Sinaloa, México

    fourth-year resident of the urology specialty, chief resident of the urology service

  • Jóse Luis Romero-Uribe, Secretaría de Salud, Hospital General de Culiacán, Sinaloa, México

    Third-year resident of the specialty of urology, presentation of poster on management of adrenal tumors at the congress of the American Confederation of Urology in Chile 2023

  • Iván Aguilar-Enríquez, Secretaría de Salud, Hospital General de Culiacán, Sinaloa, México

    He specialized in Urology in Centro Medico de Occidente in Guadalajara, one of the most important urology centers in Mexico, he has also the opportunity of several observership at UCLA medical Center in Los Angeles California under the guidance of Dr Shlomo Raz and by the world-famous transgender surgeon, Dr. Marci Bowers, who has been named one of ‘America’s Best Physicians’ in 2002 and 2003 and the only physician member of the Washington State Midwifery Board at the Pacific Coast Hospital in San Francisco California, for reconstructive female and transgender surgery program, he was the first Mexican to attend the Center for Urethra and Genital Reconstructive Urology Surgery at Arezzo, Italy. Under the guidance of World Renown Guido Barbagli.

  • Alberto Jorge Camacho-Castro, Secretaría de Salud, Hospital General de Culiacán, Sinaloa, México

    Specialist in urology and subspecialist in oncological urology, President of the Sinaloense College of Cancerology, Professor of the urology course at the general hospital of Culiacán, coordination coordinator and new members of the Mexican Society of Urology

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Published

2025-03-19

Issue

Vol. 85 No. 1 (2025): January-February

Section

Clinical cases

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