Intravesical Steroid Instillation – A Novel Therapeutic Intervention for Idiopathic Urethritis of Childhood

Abstract

Idiopathic urethritis is a disorder that typically occurs in male children between the ages of 5 and 15 years. The commonest symptoms are blood stained urethral discharge, urethral bleeding between episodes of micturition and dysuria. As the aetiology is poorly understood, there is no reliable means of treating this condition. In this case report we describe the use of intravesical steroid instillation in such patients to alleviate symptoms.

idiopathic urethritis - steroid - intravesical instillation

References

• 1 Barton E, Whitaker R H. Abnormal urethrogram in bulbar urethritis of male childhood.  Br J Radiol. 1983;  670 760-761
• 2 Dewan P A, Wilson T M. Idiopathic urethritis in the adolescent male.  Eur Urol. 1996;  30 494-497
• 3 Harrison S C, Whitaker R H. Idiopathic urethritis in male children.  Br J Urol. 1987;  59 258-260
• 4 Herz D, Weiser A, Collette T. et al . Dysfunctional elimination syndrome as an etiology of idiopathic urethritis in childhood.  J Urol. 2005;  173 2132-2137
• 5 Morita Y, Ohashi H. Some comments on the urethral syndrome.  Int Urol Nephrol. 1976;  8 47-54
• 6 Van Howe R S, Cold C J. Etiology of idiopathic anterior urethritis.  Urology. 1999;  53 658
• 7 Williams D I, Mikhael B R. Urethritis in male children. Proceedings of the Royal Society of Medicine.  T R Soc Med. 1971;  64 133-134