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• W2006754044 abstract "No AccessJournal of UrologyHypospadias1 Sep 1997Nephrogenic Adenoma After Urethral Reconstruction Using Bladder Mucosa: Report of 6 Cases and Review of the Literature Karl Weingartner, Harry P. Kozakewich, and W. Hardy Hendren Karl WeingartnerKarl Weingartner More articles by this author , Harry P. KozakewichHarry P. Kozakewich More articles by this author , and W. Hardy HendrenW. Hardy Hendren More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(01)64416-1AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: To our knowledge nephrogenic adenoma, an unusual benign metaplastic lesion of the urothelium, has not been reported previously following urethral reconstruction using bladder mucosa. Histopathological features, etiological factors and clinical features are discussed. Materials and Methods: We reviewed the records of 117 patients who underwent hypospadias repair with free grafts of bladder mucosa from 1982 to 1995. Results: Five children 6 to 11 years old and a 39-year-old man had nephrogenic adenoma of the urethra. Hematuria or dysuria was the usual reason for presentation. The lesions were located at the site of anastomosis between the graft and proximal urethra in 3 cases and the distal graft in 2, and they involved the whole graft in 1. Successful treatment consisted of endoscopic resection of the polyps in 4 patients, while open surgical correction was performed in 2, requiring complete excision of the previous graft in 1 and segmental resection in 1. Conclusions: The gross appearance of the lesion may be confused with that of transitional cell carcinoma or clear cell adenocarcinoma of the urethra, necessitating biopsy to rule out malignancy. Endoscopic management is possible for small tumors, although severe nephrogenic adenoma involving most of the reconstructed urethra may require complete resection of the graft and creation of a new urethra. References 1 : Use of bladder mucosa in a one-stage repair of hypospadias.. J. Urol.1947; 58: 68. Abstract, Google Scholar 2 : Bladder mucosa graft for construction of male urethra.. J. Ped. Surg.1986; 21: 189. Google Scholar 3 : Complications of bladder mucosal graft.. J. Urol.1989; 142: 626. Abstract, Google Scholar 4 : Bladder mucosa in urethral reconstructions.. J. Urol.1990; 144: 827. Abstract, Google Scholar 5 : Long-term followup of bladder mucosa graft for male urethral reconstruction.. J. Urol.1994; 151: 1056. Abstract, Google Scholar 6 : Experience with repair of hypospadias using bladder mucosa in adolescents and adults.. J. Urol.1995; 153: 1117. Abstract, Google Scholar 7 : Autologous bladder mucosa graft for urethral substitution.. Brit. J. Urol.1986; 58: 331. Google Scholar 8 : Repair of hypospadias using a bladder mucosal graft in 76 cases.. J. Urol.1989; 142: 1548. Abstract, Google Scholar 9 : Use of dermal graft and free urethral graft in penile reconstruction.. J. Urol.1988; 140: 1265. Abstract, Google Scholar 10 : Adenomatoid tumors of the bladder reproducing renal structures (nephrogenic adenomas).. J. Urol.1950; 64: 657. Abstract, Google Scholar 11 : Hamartoma of the urinary bladder.. Northwest Med.1949; 43: 182. Google Scholar 12 : Potentialities of bladder epithelium.. J. Urol.1954; 71: 705. Abstract, Google Scholar 13 : Adenomatous metaplasia (nephrogenic adenoma) of urothelium: an analysis of 70 cases.. Brit. J. Urol.1985; 57: 427. Google Scholar 14 : Nephrogenic adenoma in children.. J. Urol.1985; 133: 99. Abstract, Google Scholar 15 : Nephrogenic adenoma.. Urology1987; 29: 237. Google Scholar 16 : Nephrogenic adenoma of the bladder.. Urol. Int.1994; 53: 227. Google Scholar 17 : Nephrogenic adenoma: a report of 15 cases, a review of the literature, and comparison with clear cell adenocarcinoma of the urinary tract.. Amer. J. Surg. Path.1986; 10: 268. Google Scholar 18 : Nephrogenic metaplasia of the urinary tract in children: report of three cases and review of literature.. Ped. Path.1988; 8: 293. Google Scholar 19 : Nephrogenic adenoma of the bladder in children.. J. Urol.1989; 142: 1545. Abstract, Google Scholar 20 : Hypospadias repair by bladder mucosal graft: an initial report.. J. Urol.1988; 14: 1256. Google Scholar From the Departments of Surgery and Pathology, Children's Hospital and Harvard Medical School, Boston, Massachusetts.© 1997 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byFranke E, Misseri R, Cain M, Kaefer M, Meldrum K, Fan R and Rink R (2011) Nephrogenic Adenoma in the Augmented BladderJournal of Urology, VOL. 186, NO. 4S, (1586-1589), Online publication date: 1-Oct-2011. Volume 158Issue 3September 1997Page: 1175-1177 Advertisement Copyright & Permissions© 1997 by American Urological Association, Inc.MetricsAuthor Information Karl Weingartner More articles by this author Harry P. Kozakewich More articles by this author W. Hardy Hendren More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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