Objective: Urothelial carcinomas (UC) of the bladder in the pediatric population are rare and
differ from adult papillary neoplasms in terms of clinical, pathological outcomes, and
prognoses. Therefore, standardized recommendations have not been clearly defined for their
management. In this study, we aimed to report our experience and long-term follow-up data
with low-grade urothelial bladder neoplasms in pediatric patients.
Materials and Methods: The data of patients treated for bladder tumors in two tertiary centers
between December 2018 and December 2024 were analyzed retrospectively. Patients who were
younger than 18 years of age at the time of diagnosis and whose pathology was reported as UC
were included in the study. Transurethral resection of the bladder tumors was carried out on all
patients. Age, gender, presentation symptoms, tobacco use or exposure, imaging method,
number of tumors, tumor size, histological findings, hospitalization time, complications, tumor
recurrence, and follow-up data were examined.
Results: Four female and three male patients were included in the study. The mean age of the
patients was 14.8 ± 2.1 (12–17) years. The most common symptom was hematuria. Mean tumor
size was 20.5 ± 9.8 (14–40) mm, and all were low-grade. No recurrence was detected at a mean
of 58 ± 13.8 (44–76) months after resection.
Conclusion: Urothelial carcinoma of the bladder is rare in the pediatric population. These
neoplasms are usually low grade, and recurrence is rare. The most common recurrences are
seen in the first year. Strict follow-up is essential in this period. Less invasive tools can be used
for follow-up after the first year on low-grade neoplasms.