Manejo de los pólipos fibroepiteliales vesicales en pacientes pediátricos en un hospital de segundo nivel

Background: they are benign mesodermal tumours, rarely found in babies and children. The etiology is still unknown. These lesions are often seen in the renal pelvis and distal ureter. In addition to hematuria. They are often congenital in children, while in adults they are caused by inflammation, chronic irritation and infection. They manifest in children with an average age of 9 years and have a strong male predominance. Clinical case: a 11-year-old female patient comes to the clinic due to dysuria, urinary urgency and hematuria, for 3 weeks, with pain in the pelvic region, she denies other associated symptoms. A renal bladder ultrasound reported an exophytic lesion, pathological general urine test, simple and contrast-enhanced tomography with excretory phase with a tumor measuring 3.2 x 2.8 x 2.8 cm, transurethral resection of bladder tumour without complications. Clinical implications: histopathological result is reported which describes without evidence of malignancy, a multifragmentation fibroepithelial polyp, a benign condition with a favorable evolution. Conclusions: hematuria is the most common symptom. The differential diagnosis between bladder carcinoma and polyps is difficult. Pathology is the means to differentiate between these two conditions. For treatment, transurethral resection is the most effective operation.