Endoscopic treatment of fibroepithelial polyps of the renal pelvis and ureter

Lam, John S.; Bingham, Jonathan B.; Gupta, Mantu

doi:10.1016/s0090-4295(03)00691-5

Cited by 83 publications

(120 citation statements)

References 7 publications

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“…Some authors advise intensive follow-up-regimen with frequent urinalysis, ultrasound and intravenous urography (IVU) or computed tomography (CT) in the first years after surgery. 36,56,68 Considering the pattern of recurrent complaints (mostly within the first year) and the benign nature of the lesion, it is our opinion that a CT-IVU after 3 months and ultrasound of the urinary tract after 1 year are sufficient follow-up methods.…”

Section: Discussionmentioning

confidence: 99%

Treatment and outcome of fibroepithelial ureteral polyps: A systematic literature review

Ludwig

Buddingh

Kums

et al. 2015

CUAJ

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Introduction: Fibroepithelial polyps of the ureter are rare. Cases and small series are reported in the literature. The treatment of choice, outcome and appropriate follow-up regimen remain unclear. Methods: We conducted a systematic literature review of papers reporting fibroepithelial polyps of the ureter in adult patients. Articles published before 1980 were excluded. Results: The search yielded 144 papers, of which 68 met the inclusion criteria. A reference scan from the included 68 yielded an additional 7 new articles. In total, our study included 75 articles (68 + 7). A total of 134 patients were described. Most patients had a single lesion (range: 1-10). The median length of the polyp was 4.0 cm (range: 0.4-17.0). The percentage of polyps resected endoscopically increased from 0% before 1985 to 67% after 2005. Two perioperative complications were reported in 72 procedures (2.8%): a deep venous thrombosis and a case of mesenteric lymphadenopathy. Both of these occurred after open surgery. Follow-up data were available for 57 patients. The median follow-up was 12 months (range: 1-180). Four patients (7.0%) developed recurrent complaints: 2 had urinary stones, 1 had a ureteral stricture and 1 had recurrence of the polyp. Three of these events followed endoscopic resection, and occurred within a year after the procedure. Conclusion: Endoscopic resection of fibroepithelial polyps seems to be safe and effective. It is minimally invasive and should be considered the gold standard where endoscopic expertise is available. We advise follow-up imaging by computed tomographic intravenous urography after 3 months and ultrasound after 1 year to detect late complications.

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Section: Discussionmentioning

confidence: 99%

Treatment and outcome of fibroepithelial ureteral polyps: A systematic literature review

Ludwig

Buddingh

Kums

et al. 2015

CUAJ

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“…However, with advances in endoscopy, new options have become a reality. Lam et al 2 reported on a series of percutaneous, anterograde excisions of fibroepithelial polyps. Five patients underwent either percutaneous or ureteroscopic treatment of a renal pelvic or ureteral fibroepithelial polyp by means of electroresection or holmium:yttriumaluminum-garnet laser resection.…”

Section: Discussionmentioning

confidence: 99%

“…They have been documented in approximately 180 cases in published reports. 2,3 The management of these polyps is typically dependent on the degree of obstruction, presence of any existing urinary tract infection and intraoperative suspicion of potential malignancy. It is important to distinguish fibroepithelial polyps from upper urinary tract carcinoma, because the management and prognosis may be significantly different.…”

Section: Introductionmentioning

confidence: 99%

Ureteral fibroepithelial polyps in a pregnant woman: case report

et al. 2009

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CONTEXT: Ureteral fibroepithelial polyps are rare benign nonepithelial tumors, and less than 200 cases have been reported in the literature. We report on a pregnant patient with ureteral fibroepithelial polyps that were successfully treated with laparotomy. CASE REPORT:A 23-year-old pregnant woman presented with a three-month history of intermittent lumbar pain of low intensity. Abdominal ultrasonography showed that she was 13 weeks pregnant and found severe left-side ureterohydronephrosis and a heterogeneous solid mass measuring 11 x 8 x 7 centimeters in the middle portion of the ureteral topography. The investigation was complemented with magnetic resonance imaging, which confirmed the previous findings. Nephroureterectomy was performed without complications. The specimen revealed three solid tumors in the ureter, of which the largest was around eight centimeters in length. The anatomopathological report confirmed that they were fibroepithelial tumors without malignant components. RESUMOCONTEXTO: Pólipos fibroepiteliais de ureter são tumores não-epiteliais benignos raros, e menos de 200 casos foram relatados na literatura. Nós reportamos o caso de uma mulher grávida com pólipos fibroelitelial ureteral que foram tratados com sucesso por laparotomia. RELATO DE CASO:Mulher de 23 anos de idade, grávida, apresentava história de dor lombar intermitente de baixa intensidade há três meses. Ultrasonografia abdominal revelou gravidez de 13 semanas, ureterohidronefrose grave à esquerda e massa sólida heterogênea medindo 11 x 8 x 7 cm na porção média da topografia ureteral. A investigação foi complementada com ressonância magnética, que confirmou os achados. Foi realizada nefroureterectomia sem complicações. A peça revelou três tumores sólidos em ureter, o maior apresentando aproximadamente oito centímetros longitudinalmente. O relatório anatomopatológico confirmou tumor fibroepitelial sem componentes de malignidade. KEY WORDS:Laparotomy.Neoplasms.Pregnant women.Ureter.Urology. PALAVRAS-CHAVE:Laparotomia.Neoplasias. Gestantes.Ureter.Urologia.

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“…However, as more non-invasive endoscopic techniques evolved, there are more successful reports of ureteroscopy to treat for ureteral polyps. [6][7][8] Recently, the advent of robotic-assisted surgery has been successfully applied to treat benign ureteral disease. 9 We discuss the clinical presentation, imaging, histological features, and the use of the daVinci surgical system to excise FEP.…”

Section: Introductionmentioning

confidence: 99%

Robot-assisted right ureteral polypectomy: A case report

Karmo¹,

Lim

Santucci

et al. 2013

CUAJ

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Ureteral polyps are a rare cause of ureteral obstruction in the adult and pediatric populations. Fibroepitheial polyps (FEP) are the most common type of ureteral polyps. This clinical entity is very rare, warranting periodic clinical review by practitioners, and new advancements in laparoscopy allow new surgical approaches to its cure. We present the case of a 20-year-old male with rightsided flank pain. He was found to have right uretero-pelvic junction (UPJ) obstruction and subsequently underwent laparoscopic robotic-assisted right collecting system exploration, excision of polyps and right ureteropyeloplasty. Ureteral polyps were excised and determined to be fibroepithelial in origin based on the pathological report. Our case highlights the importance of having FEP in the differential diagnosis of ureteral obstruction. We also found that laparoscopic robot-assisted polypectomy is a safe and acceptable surgical option for the excision of ureteral polyps.

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Endoscopic treatment of fibroepithelial polyps of the renal pelvis and ureter

Cited by 83 publications

References 7 publications

Treatment and outcome of fibroepithelial ureteral polyps: A systematic literature review

Treatment and outcome of fibroepithelial ureteral polyps: A systematic literature review

Ureteral fibroepithelial polyps in a pregnant woman: case report

Robot-assisted right ureteral polypectomy: A case report

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