Prostatic Urethral Polyp Causing Lower Urinary Tract Obstruction: Report of a Case.
10.12701/yujm.1985.2.1.249
- Author:
Dong Heon LEE
;
Jun Kyu SUH
;
Young Soo KIM
;
Tong Choon PARK
;
Hae Joo NAM
;
Won Hee CHOI
;
Tae Sook LEE
;
Kyung Chul LEE
- Publication Type:Case Report
- MeSH:
Hand Strength;
Hematuria;
Hemospermia;
Humans;
Male;
Middle Aged;
Neck;
Polyps*;
Prostate;
Prostatic Hyperplasia;
Surgical Instruments;
Urethra;
Urinary Bladder;
Urinary Tract*;
Urination
- From:Yeungnam University Journal of Medicine
1985;2(1):249-252
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Polyps of the male urethra are relatively uncommon lesions, They usually arise from the prostatic urethra mostly verumontanum or just lateral to the verumontanum. Posterior urethral polyp often presents with hematuria, hemospermia and sometimes lower urinary tract obstruction. We recently experienced a pedunculated prostatic urethral polyp in a 63-year-old man who complained of gross total hematuria and difficult micturition for several years. On rectal examination the prostate was slightly enlarged with normal consistency. Excretory urogram showed a round filling defect in the right side of the bladder neck measuring about 2×2 cm in size. Cystourethroscopy revealed trabeculation of the vesical wall, mild bilateral prostatic hypertrophy and a round cystic mass with a long stalk arising from the prostatic floor 1cm. Proximal to the verumontanum which caused ball-valve obstruction in the bladder neck. This pedunculated polypoid mass was then resected at its base with resectoscope and was removed transurethrally using Lowsley's grasping forceps. The specimen was proved as fibrous polyp histologically.
