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Urethra

Urethral Polyps

Fibroepithelial Polyp

Clinical Features

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      Rare lesion
      Occurs only in males
      Usually congenital
      Patients usually present between 3 and 9 years of age with hematuria, urinary retention, and infection

Gross Pathology

  
      Polypoid mass arising in the prostatic urethra adjacent to the verumontanum

Histopathology

  
      Polyp lined by urothelium with variable stromal inflammation
      Surface ulceration may be seen
      Squamous metaplasia may be present

Caruncle

Clinical Features

  
      Found exclusively in women; usually in later life
      Patients present with a red, painful mass at the external urethral meatus and frequently have dysuria, urinary frequency, or obstruction

Gross Pathology

  
      Small (1 to 2 cm), pedunculated or sessile polypoid lesion in the distal urethra
      Fleshy, hemorrhagic appearance

Histopathology

  
      Polypoid mass lined by urothelial (transitional) or squamous epithelium that is often hyperplastic
      Lamina propria consists of loose fibroblastic connective tissue …