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Case Reports: Rare disease
Fibroepithelial urethral polyp with minor prostatic glands in an older man
  1. Kenji Yorita1,
  2. Takushi Naroda2 and
  3. Masato Tamura2
  1. 1Department of Diagnostic Pathology, Japanese Red Cross Kochi Hospital, Kochi-shi, Japan
  2. 2Department of Urology, Japanese Red Cross Kochi Hospital, Kochi-shi, Japan
  1. Correspondence to Dr Kenji Yorita; kenjiyorita{at}gmail.com

Abstract

We describe a man in his 60s with an incidentally detected urethral polyp located in the middle section of his penile shaft. The patient had been suffering from urinary retention for 9 years due to benign prostatic hyperplasia. He was initiated on clean intermittent catheterisation to drain urine 1 year before the detection of the urethral polyp. Holmium laser nucleation of the prostate was performed, and an anterior urethral polyp (5 mm in diameter) was resected. Pathology indicated that the urethral polyp was a fibroepithelial polyp with prostate-specific antigen-immunoreactive heterotopic prostatic glands. There were no problems with urination 6 months after surgery. Fibroepithelial urethral polyps are usually congenital and are rarely described in adults. The clinicopathological features of this polyp, with its uniquely associated minor prostatic glands, are presented.

  • Urinary and genital tract disorders
  • Urology

http://dx.doi.org/10.1136/bcr-2022-253151

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    Footnotes

    • Contributors KY, performed the pathological diagnosis and was a major contributor to the writing of the manuscript. TN discovered the urethral lesion and performed the observations and surgery. MT performed medical treatment and observed the course of treatment.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.