A Case for Nephron Sparing Surgery in the Management of Upper Tract Urothelial Carcinoma
Piruz Motamedinia1, David Hoenig2, Zeph Okeke2
11 Department of Urology, Yale University , New Haven, Connecticut.
Abstract:
Upper tract urothelial carcinoma (UTUC) is rare and its management presents many challenges. Outside of distal ureterectomy for select cases, management has been primarily radical nephroureterectomy. Endoscopic nephron sparing management (NSM) is recognized to have some role in UTUC treatment; however, it is yet to gain firm footing in the treatment algorithm. In this review, we discuss the benefits of NSM with regards to oncologic outcomes, renal function preservation, and cost savings. Finally, we propose recognition of endoscopic NSM as a first-line treatment in selected patients with low risk disease.
Related Concept Videos
Urinary Tract Calculi VI: Surgical Management
Kidney Transplant II: Surgical Procedure
Urinary Tract Calculi V: Nursing Management
Urinary Tract Calculi III: Medical Management
Anatomy of the Genitourinary System I: Kidneys and Ureters
Imaging Studies V: Intravenous Urography and Retrograde Pyelography


