Diagnosis and treatment strategy of primary ureteral fibroepithelial polyp
10.3760/cma.j.issn.1000-6702.2014.03.005
- VernacularTitle:原发性输尿管纤维上皮性息肉的诊治策略
- Author:
Gang WANG
;
Liping ZHANG
;
Wei YU
;
Liqun ZHOU
- Publication Type:Journal Article
- Keywords:
Ureter;
Fibroepithelial polyp;
Primary;
Diagnosis;
Therapeutics
- From:
Chinese Journal of Urology
2014;35(3):178-181
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the diagnosis and treatment strategy of primary ureteral fibroepithelial polyp.Methods The Clinico-pathological data of 44 primary ureteral fibroepithelial polyp cases (27 males and 17 females) treated from Jan.1998 to Mar.2013 were analyzed retrospectively.The mean age was 37 (12-67) years.Patients were admitted with flank-abdominal pain (63.6％),painless gross hematuria (18.2％) and hydronephrosis (9.1％) with a mean history of 4 (1 week-20 years) yrs.CT scan of the 38 cases revealed hydronephrosis (68.4％) and ureter tumor (63.2％).Of the 16 cases with retrograde urography,13 demonstrated filling-defects in ureter (81.3％),among whom,10 revealed long strip-shaped filling-defects suspect of ureter polyp (62.5％).Ureteroscopy was performed in 25 cases and discovered ureter polyp in 19 patients.Partial ureterectomy was performed on 28 patients,endoscopic procedure was performed on 11 cases and the left 5 patients were treated with nephroureterectomy.Results 40 patients were followed-up for 6 mon to 15 years.Of the 35 patients with the kidney reserved,31 were fully recovered with no symptoms and with no hydronephrosis or polyp recurring,3 cases with hydronephrosis were relieved,1 patient lost the affected kidney after 3 years because of severe hydronephrosis.Conclusions Primary ureteral fibroepithelial polyp should be suspected in younger patients with long term intermittent flank or abdominal pain and/or gross hematuria.CT scan and retrograde urography are the main diagnostic imaging studies.Ureteroscopy plays a pivotal role in the diagnosis and decision of treatment strategy,especially to avoid undertaking nephroureterectomy in suspicious of ureteral carcinoma.Resection of the polyp under ureteroscopy is safe and effective.
