Open Access

MINIMALLY INVASIVE AND ROBOTIC SURGERY

Laparoscopic management of extensive ureteral fi broepithelial polyps

David S. Bargnesi¹, Ronney Abaza², Steven H. Selman¹

1 Department of Urology, University of Toledo College of Medicine, Toledo, Ohio, USA
2 Robotic Urologic Surgery, Ohio State University Medical Center & James Cancer Hospital, Columbus, Ohio, USA
Address correspondence to Dr. David S. Bargnesi, Department Of Urology, Dowling Hall University of Toledo Health Science Campus, 3000 Arlington Avenue, Toledo, OH 43614 USA

Canadian Journal of Urology 2009, 16(6), 4936-4938.

Abstract

Fibroepthelial polyps are uniformly benign tumors of the collecting system which may cause obstruction of an affected renal unit. We present a unique case of a 34-yearold male with a solitary functioning kidney who presented with fl ank pain and renal insuffi ciency. Radiographic and ureteroscopic evaluation revealed ureteral obstruction due to extensive polyps. After ureteral stenting and normalization of renal function, successful polyp excisions were performed laparoscopically through a ureterotomy. The pathology revealed benign fi broepithelial polyps. The patient remained asymptomatic until 3 years later when ureteroscopy performed for a calculus revealed a widely patent lumen free of polyps. To our knowledge, this is the fi rst published report of a long term follow up after laparoscopic resection of extensive ureteral fi broepithelial polyps.

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Keywords

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