Management of lower urinary tract fibroepithelial polyps in children
نویسندگان
چکیده
AbstractIntroduction Fibroepithelial polyps (FEP) of the lower urinary tract are relatively common in adults but rare children, with fewer than 250 cases reported literature to date. Objective The aim this study was address experience FEP management children. Study design A retrospective multicenter review undertaken children defined managed between 2008 and 2018. data at 18 pediatric surgery centers were collected. Their demographic, radiological, surgical, pathological information reviewed. Results total 33 (26 boys; 7 girls) treated for 13 centers. most presentation outflow as hematuria (41%), acute retention (25%), dysuria (19%), or infections (28%). prenatal diagnosis made three patients hydronephrosis. Almost all (94%) underwent ultrasound imaging first diagnostic examination, 23 (70%) them also either had an MRI (15%), cystourethrography computerized tomography (6%), cystoscopy (45%). Two these (6%) a biopsy prior surgery. median preoperative delay 7.52 (range: 1–48) months. Most endoscopically, although four (12.1%) open two (6.1%) additional incision specimen extraction. hospital stay 1.5 1–10) days. There no recurrences complications after follow-up 1–34) Discussion main limitation our is design, it largest one pathology. Conclusion This series supports sonography suitable tool before endoscopy confirm perform resection report confirms recognized benign nature absence recurrences. Level Evidence Level V.
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ژورنال
عنوان ژورنال: Journal of Pediatric Surgery
سال: 2021
ISSN: ['0022-3468', '1531-5037']
DOI: https://doi.org/10.1016/j.jpedsurg.2020.05.030