Management of lower urinary tract fibroepithelial polyps in children
Autor: | Laurent Fourcade, Aurélien Scalabre, Matthieu Peycelon, Luke Harper, Garance Martin, Valeska Bidault, Alexis Arnaud, Emmanuel Sapin, Céline Grosos, Maguelonne Pons, P. Buisson, Quentin Ballouhey, Sybille Rousseau, Anna Poupalou, E. Dobremez, Claire Raquillet, Isabelle Pommepuy, Guillaume Levard |
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Rok vydání: | 2021 |
Předmět: |
Adult
Male medicine.medical_specialty Urinary system Urinary Bladder Endoscopic mucosal resection 03 medical and health sciences Polyps 0302 clinical medicine 030225 pediatrics Pediatric surgery Humans Medicine Dysuria Child Urinary Tract Hydronephrosis Retrospective Studies medicine.diagnostic_test business.industry Urinary retention General Medicine Cystoscopy medicine.disease Surgery Endoscopy 030220 oncology & carcinogenesis Pediatrics Perinatology and Child Health Female Neoplasm Recurrence Local medicine.symptom business |
Zdroj: | Journal of Pediatric Surgery. 56:332-336 |
ISSN: | 0022-3468 |
DOI: | 10.1016/j.jpedsurg.2020.05.030 |
Popis: | Introduction Fibroepithelial polyps (FEP) of the lower urinary tract are relatively common in adults but rare in children, with fewer than 250 cases reported in the literature to date. Objective The aim of this study was to address the experience of FEP management in children. Study design A retrospective multicenter review was undertaken in children with defined FEP of the lower urinary tract managed between 2008 and 2018. The data at 18 pediatric surgery centers were collected. Their demographic, radiological, surgical, and pathological information were reviewed. Results A total of 33 children (26 boys; 7 girls) were treated for FEP of the lower urinary tract at 13 centers. The most common presentation was urinary outflow as hematuria (41%), acute urinary retention (25%), dysuria (19%), or urinary infections (28%). A prenatal diagnosis was made for three patients with hydronephrosis. Almost all of the children (94%) underwent ultrasound imaging of the urinary tract as the first diagnostic examination, 23 (70%) of them also either had an MRI (15%), cystourethrography (25%), computerized tomography (6%), or cystoscopy (45%). Two of these children (6%) had a biopsy prior to the surgery. The median preoperative delay was 7.52 (range: 1–48) months. Most of the patients were treated endoscopically, although four (12.1%) had open surgery and two (6.1%) had an additional incision for specimen extraction. The median hospital stay was 1.5 (range: 1–10) days. There were no recurrences and no complications after a median follow-up of 13 (range: 1–34) months. Discussion The main limitation of our study is the retrospective design, although it is the largest one for this pathology. Conclusion This series supports sonography as the most suitable diagnosis tool before endoscopy to confirm the diagnosis and to perform the resection for most FEP in children. This report confirms the recognized benign nature in the absence of recurrences. Level of Evidence Level V. |
Databáze: | OpenAIRE |
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