Kuwait Medical Journal, cilt.48, sa.2, ss.151-153, 2016 (SCI-Expanded, Scopus)
Nephrogenic adenoma (NA), an example of non-neoplastic epithelial abnormalities, is a rare reactive lesion that is capable of mimicking a tumor on cystoscopic examination and found mostly in bladder and also structures lined with urothelium such as ureter and urethra. A diagnostic cystoscopy was performed on a 16-year-old male patient admitted to our emergency department with the complaint of passing blood in the urine for a week. Multiple papillary structures, largest one reaching 5-6 mm in diameter, with active hemorrhage were observed in posterior urethra upon cystoscopy. A transurethral resection was carried out. A diagnosis of NA was made as a result of histopathologic studies. The patient presented two weeks later, stating that the hematuria was not resolved. A second transurethral resection was carried out after active haemorrhagic lesions were observed in the posterior urethra during cystoscopy. The patient currently has no complaint of hematuria, and is being followed-up. It should be kept in mind that nephrogenic adenomas located in urethra can be encountered during a cystoscopy in pediatric cases with hematuria. Cystoscopic examinations at regular intervals are thought to be effective in order to prevent local recurrence.