Definition
Polypoid, sessile, or papillary structure lined by prostate-type glands showing double layer of cells with cuboidal/columnar cells and flattened basal cells
Clinical Features
Incidence
This represents an uncommon benign lesion. The histogenesis may be related with a metaplastic process or a defect of embryogenesis (Remick and Kuman 1984).
Age
Age ranges between 13 and 84 years.
Sex
Male patients
Site
It projects into the prostatic urethra more often in or around the verumontanum. Uncommon cases have been reported in the bladder (Ishikawa et al. 1990).
Treatment
Clinically prostatic-type polyps present with hematuria, hemospermia, and dysuria. The polyp may cause urethral structure (Sekine et al. 1993). It may be also an incidental finding. In rare instances, the diagnosis is made after a work-up for atypical urinary cells. The treatment is excision by cystoscopy and fulguration.
Outcome
Recurrences are very rare.
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References and Further Reading
Craig, J. R., & Hart, W. R. (1975). Benign polyps with prostatic-type epithelium of the urethra. American Journal of Clinical Pathology, 63, 343–347.
Halat, S., Eble, J. N., Grignon, D. J., et al. (2011). Ectopic prostatic tissue: Histogenesis and histopathological characteristics. Histopathology, 58, 750–758.
Humphrey, A. P. (2015). Prostatic-type epithelial polyp of the urethra. The Journal of Urology, 193, 2095–2096.
Ishikawa, J., Yasuno, H., Higuchi, A., et al. (1990). Benign polyp with benign prostatic-type epithelium of the urinary bladder: A case report. Hinyokika Kiyo, 36, 1463–1465.
Remick, D. G., Jr., & Kuman, N. B. (1984). Benign polyps with prostatic-type epithelium of the urethra and the urinary bladder. A suggestion of histogenesis based on histologic and immunohistochemical study. The American Journal of Surgical Pathology, 8, 833–839.
Sekine, H., Mine, M., Kaneoya, F., et al. (1993). Benign polyp with prostatic-type epithelium in the anterior urethra accompanied with urethral stricture. Urologia Internationalis, 50, 114–116.
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Vanessa, H., Antonio, LB., Maria Rosaria, R. (2019). Urethral Polyp, Prostatic Type. In: van Krieken, J. (eds) Encyclopedia of Pathology. Encyclopedia of Pathology. Springer, Cham. https://doi.org/10.1007/978-3-319-28845-1_4969-1
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DOI: https://doi.org/10.1007/978-3-319-28845-1_4969-1
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