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Modified nephro-ureterectomy. Long-term follow-up with particular reference to subsequent bladder tumours
G F Abercrombie1, I Eardley, S R Payne
1Department of Urology, St Mary's Hospital, Portsmouth.
British Journal of Urology
|March 1, 1988
Summary
This study compared a modified nephro-ureterectomy technique for renal pelvis tumors against the standard method. The modified approach showed no increased risk of subsequent bladder tumors, offering patient benefits.
Area of Science:
- Urology
- Oncology
Background:
- Transitional carcinoma of the renal pelvis and caliceal system is typically treated with nephro-ureterectomy.
- A modified single-incision technique involves endoscopic intramural ureter resection.
Purpose of the Study:
- To evaluate the incidence of subsequent bladder tumors after a modified nephro-ureterectomy technique.
- To compare this modified technique with the conventional two-incision approach.
Main Methods:
- Retrospective analysis of 21 patients treated with the modified technique between 1970 and 1983.
- Analysis focused on 16 patients with available follow-up data regarding bladder tumor development.
Main Results:
- Of the 16 analyzed patients, 37.5% developed subsequent bladder tumors.
- The incidence of bladder tumors in this cohort was comparable to historical data for the conventional technique.
Conclusions:
- The modified single-incision nephro-ureterectomy technique does not appear to increase the risk of subsequent bladder tumors.
- This modified technique offers potential benefits to patients compared to the conventional two-incision method.