Polyps of the bladder and urethra

Among the benign neoplasms of the urethra and bladder, a significant place is occupied by polyps - tumors epithelial origin.

Polyps in the bladder are more often diagnosed in men. Similar protrusions of the urethral mucosa predominate in women and are the most common benign tumors in this area. It has to do with anatomical features of the female genitourinary system. At risk are patients over 50 years of age.

The K+31 clinic uses modern techniques and is equipped with the necessary equipment for high-quality diagnostics and minimally invasive treatment of polyps.

The reasons for the formation of polyps

The etiology of the pathology has not been fully studied. Infections are the provoking factors for the appearance of polyps. urogenital tract, frequent stressful situations, physical and psycho-emotional overstrain, insufficient dream.

The main causes of pathology include:

  • hormonal changes that occur with age in women (a decrease in estrogen levels leads to a violation epithelial structures);
  • inflammatory processes in the organs of the genitourinary system of a chronic nature;
  • genetic predisposition;
  • endocrine diseases: diabetes, hypothyroidism, obesity, etc.;
  • injuries received during diagnostic and therapeutic procedures;
  • mechanical damage to the urethra as a result of surgical interventions, abortion, complications and trauma during childbirth, etc.

The appearance of polyps on the urethra is preceded by long-term infections, ovarian dysfunction, impaired wall vascularization, etc.

The impact of negative factors causes increased proliferation of mucosal cells and contributes to the development neoplasms.

Symptoms

At the early stage of urethral polyp formation, clinical manifestations are not pronounced or absent. Patient notes slight burning during urination. As the size increases, the addition of inflammation symptoms increases and the following symptoms appear:

  • discomfort, cutting pains;
  • frequent urination;
  • difficulties in emptying;
  • weakening, interruption of the urine stream;
  • possible spotting;
  • Incontinence during sneezing, coughing, etc.

Among the symptoms of a bladder polyp: soreness in the lower part of the abdominal wall of a pulling nature, frequent urge, the presence of blood in the urine, a feeling of constant fullness of the organ, women may experience pain during proximity.

The mucosa at the location of the polyp is easily injured, which can lead to contact bleeding.

Complications

As the disease progresses, the number of damaged cells increases. likelihood of becoming malignant education increases with rapid growth, as well as the presence of tumors in other areas of the body.

Polyps often cause narrowing of the urethral lumen, which can cause obstruction. With complete coverage, there is a condition of acute urinary retention, which requires emergency medical care.

Other serious complications include:

  • infectious lesions of the urinary system;
  • hematuric syndrome (occurs when the integrity of the mucosa is violated);
  • urinary incontinence, problems with urination
  • iron deficiency anemia with a long course of the disease.

In male patients, hematospermia and sexual dysfunction are possible.

Diagnosis

Polyps are more often detected during preventive examinations at the appointment of a urologist or gynecologist.

Diagnostic measures include:

  1. Collection of anamnestic information, previous diseases, analysis of complaints.
  2. Visual inspection: allows you to detect a polyp when it is localized outside the opening of the urethra.
  3. Laboratory tests: urine and blood tests to detect signs of inflammation, determination of blood clotting, sampling of biological material from the vagina and urethra, biopsy of the site of the pathological formation, which allows you to determine the nature of the tumor.
  4. Ultrasound examination of the genitourinary system is one of the most accessible and safe methods of early diagnosis. Ultrasound of the urethra in women makes it possible to detect a tumor due to echogenicity that is different from unchanged tissues, to assess the degree of blood supply.
  5. Endoscopic examination of the urethral mucosa. Cystourethroscopy helps to assess the state of the anatomical structures under consideration, determine the extent of the hypertrophied area, and visualize the “leg” of the polyp. During the procedure, you can take material for histological analysis.
  6. Radial examination methods. During urethrography, a contrast agent is injected into the urethra and a series of images are taken. In complex clinical cases and for the purpose of differential diagnosis, computed and magnetic resonance imaging of the pelvic area is prescribed.

Based on the results obtained, the specialist draws up a therapy program and decides on the need for surgical treatment.

Treatment of polyps of the urethra and bladder

With a small protrusion and the absence of a clinical picture, specialists in some cases choose observation with periodic examinations, correction of hormonal imbalances and treatment of local inflammatory processes.

The main indications for surgery are:

  • constant bleeding of the polyp;
  • the appearance of a pronounced pain syndrome;
  • appearance of obstructions to the passage of urine;
  • Intensive polyp growth, large size.

The preferred method of treatment is surgery. Among the methods used:

  1. Low-traumatic technique - wedge resection of the formation and underlying mucosa within healthy tissues. The excision of the polyp is performed under general anesthesia. When localized in hard-to-reach areas, endoscopic techniques are used.
  2. With the help of radio wave therapy, the formation is destroyed under the influence of high-frequency radiation. This is a modern painless method that contributes to the rapid restoration of damaged tissues.
  3. Electrocoagulation, cryodestruction, laser removal of polyps. The use of physical destruction methods ensures minimal trauma, allows manipulation within the tumor under local anesthesia.

The choice of one or another minor surgical intervention depends on the size of the protrusion, the severity of the symptoms, and doubts about the benignity of the pathological process.

Removal of the polyp makes it possible to restore the patency of the urethra, prevent relapses and possible complications. Timely contact with a specialist allows you to avoid undesirable consequences and maintain health.

Medical Center "K + 31" uses the latest developments, international standards for the diagnosis and treatment of polyps using minimally invasive techniques and modern equipment.

For more information, you can fill out a special online form on the website.

Service record

Services



Specialists

All specialists
Rasner
Pavel Ilyich

Consultant in urology, urologist

Doctor of Sciences, PhD, professor

Osmolovsky
Boris Evgenyevich

Head of the Department of Urology, Urologist

PhD

Tereshchenko
Suren Alexandrovich

Doctor urologist-andrologist

Doctor of Sciences, PhD

Kamalov
Armais Albertovich

Chief Consultant in Urology, Urologist

Academician, professor, Doctor of Sciences, PhD

Pshikhachev
Ahmed Mukhamedovich

Urologist, Oncologist

Doctor of Sciences, PhD

Gomberg
Mikhail Alexandrovich

Dermatovenereologist

Doctor of Sciences, PhD, professor

Marchenko
Vladimir Vladimirovich

Leading urologist-andrologist, urogynecologist, pelvic pain specialist