Retroperitoneal laparoscopy management for ureteral fibroepithelial polyps causing hydronephrosis in children: A report of five cases

Dai, Lina; Chen, C.D.; Lin, Xiaokun; Wang, Y.B.; Xia, Liguang; Liu, Pengxuan; Chen, X.M.; Li, Z.R.

doi:10.1016/j.jpurol.2015.02.019

Cited by 16 publications

(11 citation statements)

References 15 publications

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“…Furthermore, laparoscopic surgery can extract the base of FEPs, thus preventing recurrence [21], which was confirmed by previous studies that indicated that residual disease might cause recurrent lesions [13,24]. Successful experiences with transperitoneal or retroperitoneal laparoscopy in treatment of FEP have been reported [25,26]. The crucial steps in laparoscopic treatment of ureteral FEP include the location of polyps, resection of polyps, and end-to-end anastomosis of ureters.…”

Section: Stepsmentioning

confidence: 66%

Modified Laparoscopic Partial Ureterectomy for Adult Ureteral Fibroepithelial Polyp: Technique and Initial Experience

Hong

Cai

et al. 2018

Urol Int

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Objectives: To present our modified laparoscopic partial ureterectomy technique for adult ureteral fibroepithelial polyp (FEP) and initial experience. Methods: Between August 2009 and October 2017, 22 patients with ureteral FEP underwent modified laparoscopic partial ureterectomy by an experienced surgeon. In our method, a stay suture passing through the upper ureter was fixed to the abdominal wall to keep the ureter from twisting. The ureter was not completely dismembered until the first stitch, which was placed between the lowest points of the upper ureter and lower ureter end faces, was finished. Besides, we used a 3-step method to locate the polyp. Surgical success was defined as improved hydronephrosis and alleviated symptoms. Results: The mean operative time was 152.18 min. The mean estimated blood loss was 22.73 mL. One patient complained of urinary tract infection postoperatively. The mean times to remove the drainage tube and catheter were 2.64 and 3.73 days respectively. The double-J tube was removed at 1–3 months after surgery. At a mean follow-up of 47.04 months, no patient experienced disease recurrence, and the operative success rate was 100%. Conclusions: Modified laparoscopic partial ureterectomy, with a high success rate, could be considered a safe and efficient treatment option for ureteral FEP.

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Section: Stepsmentioning

confidence: 66%

Modified Laparoscopic Partial Ureterectomy for Adult Ureteral Fibroepithelial Polyp: Technique and Initial Experience

Hong

Cai

et al. 2018

Urol Int

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“…However, ureteroscopy and endoscopic resection may be difficult in patients with long or large polypoid lesions, due to poor visualization of the base of the stalk and limited working space, which make it difficult to differentiate the ureteral wall from the polyp, leading to incomplete resection or ureteral perforation. Laparoscopic surgery is another minimally invasive method (11,12). Successful laparoscopic treatment has been described in patients with large, long polyps, as well as in those with multiple polyps.…”

Section: Discussionmentioning

confidence: 99%

Rare giant primary ureteral polyp: A case report and literature review

Cai

Zhang

Yue

2017

Molecular and Clinical Oncology

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Primary ureteral fibroepithelial polyps (UFPs) are rare benign tumors of mesodermal origin. The majority UFPs are observed in the proximal part of the ureter and most commonly on the left side. The mean diameter of UFP is reported to be <5 cm. We herein present a rare case of a long primary ureteral polyp originating from the lower ureter in a 53-year-old woman. Following computed tomography, magnetic resonance imaging, retrograde pyelography and ureteroscopic examination, a preliminary diagnosis of giant primary lower ureteral polyp protruding into the bladder was obtained. Polyp resection and resection of the narrow ureteral segment with a V-shaped end-to-end anastomosis were performed. The length of this polyp was 15.0 cm, and the final pathological diagnosis was UFP. No recurrence or ureteral stenosis were observed at the 12-month follow-up. A supplementary review of previously published cases and related literature is also included.

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“…A recent review of literature confirmed this and revealed that 92% of children with ureteral fibroepithelial polyps were male and 67% of polyps were found in the left ureter [6]. Mean age at diagnosis is between eight and eleven years [6][7][8][9].…”

Section: Discussionmentioning

confidence: 86%

“…studies, all children with fibroepithelial polyps presented with one or both of these symptoms [7][8][9]. There seems to be predominance for males, for the left side and for the upper ureter and UPJ without clear assertion [8,11].…”

Section: Discussionmentioning

confidence: 93%

See 1 more Smart Citation

Fibroepithelial ureteral polyps as a cause of ureteropelvic junction obstruction in children: A case report

Horebeek¹,

Wyndaele

Verlinde³

et al. 2016

PUCR

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We present a ten-year-old boy with episodic left flank pain, vomiting and microscopic hematuria. Imaging showed hydronephrosis characteristic for ureteropelvic junction (UPJ) obstruction. Pyeloplasty revealed a ureteral polyp, histopathologic examination confirmed the diagnosis of a fibroepithelial polyp. Fibroepithelial polyps of the ureter are a rare cause of UPJ obstruction in children. The most common presentation is episodic flank pain and/or hematuria.Imaging can be guiding, but pre-operative diagnosis is difficult. After surgical resection recurrence is rare.

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Retroperitoneal laparoscopy management for ureteral fibroepithelial polyps causing hydronephrosis in children: A report of five cases

Cited by 16 publications

References 15 publications

Modified Laparoscopic Partial Ureterectomy for Adult Ureteral Fibroepithelial Polyp: Technique and Initial Experience

Modified Laparoscopic Partial Ureterectomy for Adult Ureteral Fibroepithelial Polyp: Technique and Initial Experience

Rare giant primary ureteral polyp: A case report and literature review

Fibroepithelial ureteral polyps as a cause of ureteropelvic junction obstruction in children: A case report

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