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Uretral Polyp: Inflammatory Type

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Encyclopedia of Pathology

Synonyms

Papillary pseudotumor of the prostatic urethra; Papillary urethritis; Polypoid urethritis

Definition

Reactive lesion of the urethral mucosa conferring a polypoid and/or papillary conformation.

Clinical Features

  • Incidence

    It is an uncommon finding associated with urinary tract infections, indwelling catheters, or other mechanical irritation sources (Ishigooka et al. 1993).

  • Age

    Adult age

  • Sex

    More common in males

  • Site

    Prostatic urethra

  • Treatment

    No required treatment

  • Outcome

    Benign lesion

Macroscopy

Exophytic bullous edematous or polypoid lesions are associated with hemorrhagic discoloration, occasionally.

Microscopy

Papillary and polypoid cystitis shows thick edematous and relatively avascular cores (Fig. 1). It is covered with stratified low columnar to cuboidal cells with reactive atypia. Vascular congestion and inflammatory infiltrate can be found in the lamina propria (Lane and Epstein 2008).

Fig. 1
figure 1

Reactive polypoid lesion of the urethral mucosae resected due to hematuria

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References and Further Reading

  • Ishigooka, M., Hashimoto, T., Kodama, C., Nakada, T., & Katoh, H. (1993). Polyps of the prostatic urethra. Urologia Internationalis, 50(1), 57–60.

    Article  CAS  Google Scholar 

  • Lane, Z., & Epstein, J. I. (2008). Polypoid/papillary cystitis: A series of 41 cases misdiagnosed as papillary urothelial neoplasia. The American Journal of Surgical Pathology, 32(5), 758–764.

    Article  Google Scholar 

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Correspondence to Maria Rosaria Raspollini .

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Henriques, V., Lopez-Beltran, A., Raspollini, M.R. (2019). Uretral Polyp: Inflammatory Type. In: van Krieken, J. (eds) Encyclopedia of Pathology. Encyclopedia of Pathology. Springer, Cham. https://doi.org/10.1007/978-3-319-28845-1_4970-1

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  • DOI: https://doi.org/10.1007/978-3-319-28845-1_4970-1

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-28845-1

  • Online ISBN: 978-3-319-28845-1

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