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Logo of ibjuINTERNATIONAL BRAZ J UROLJournal InformationEditorial BoardOn line SubmissionContentsVideo Section
 
Int Braz J Urol. 2017 Nov-Dec; 43(6): 1195.
PMCID: PMC5734089

Alternative approach of a Fibroepithelial polyp

ABSTRACT

A 41-year-old male presented at Emergency Department (ED) with right flank pain associated with hematuria for 3 days. Patient had a previous history of nephrolithiasis. The physical examination and blood tests were normal. Urine analyses showed haematuria > 1.000.000/μL. After clinical evaluation, a computer tomography (CT) showed right ureteral dilatation caused by a 5 mm proximal stone and a distal intraluminal mass of 8 cm in length. In this setting, an ureteroscopic biopsy was performed and revealed a large polypoid lesion histologically suggestive of fibroepithelial polyp. Due to technical difficulties (intraluminal mass length and technical issue for the passage of guidewire) and after discussing all available minimally invasive options, we opted for a laparoscopic approach. Instead of ureterectomy of the affected segment of the ureter, as classically performed, we proceeded with an ureterotomy, blunt dissection of the tumor and ureterolithotomy, with complete removal of the mass. This approach did not require ureteral anastomosis and the ureteral dilatation facilitated its primary closure. No complications occurred, even after 3 years of follow-up.

ARTICLE INFO

Available at: http://www.intbrazjurol.com.br/video-section/20160471-pazeto_et_al/

Int Braz J Urol. 2017; 43 (Video #19): 1195-1195

Footnotes

Published as Ahead of Print: March 30, 2017


Articles from International Brazilian Journal of Urology : official journal of the Brazilian Society of Urology are provided here courtesy of Brazilian Society of Urology