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Laparoscopic approach for intermittent hydronephrosis caused by primary ureteral fibroepithelial polyps in children
Han Chu1, Yongsheng Cao1, Qifei Deng1
1Urology (II), Anhui Provincial Children's Hospital, Hefei, Anhui, China.
Insights
Laparoscopic pyeloureteroplasty successfully treated pediatric ureteral fibroepithelial polyps (UFPs), resolving intermittent hydronephrosis. This minimally invasive approach offers a favorable outcome for children with this rare condition.
Area of Science:
- Pediatric Urology
- Surgical Oncology
- Medical Diagnostics
Background:
- Ureteral fibroepithelial polyps (UFPs) are rare benign tumors causing intermittent hydronephrosis in children.
- Diagnosis and treatment strategies for pediatric UFPs require careful consideration due to their rarity and potential complications.
Purpose of the Study:
- To summarize the diagnostic and treatment experience of pediatric patients with intermittent hydronephrosis secondary to ureteral fibroepithelial polyps (UFPs).
- To evaluate the efficacy and outcomes of surgical interventions for UFPs in children.
Main Methods:
- Retrospective analysis of pediatric cases diagnosed with hydronephrosis caused by ureteral polyps between 2017 and 2020.
- Collection and analysis of demographic data, clinical symptoms, surgical procedures, pathological findings, and patient outcomes.
Main Results:
- Seven pediatric cases of UFP were identified, all male, with a median age of 7.1 years, predominantly affecting the left ureter.
- Abdominal intermittent pain was the primary presenting symptom.
- All patients underwent successful laparoscopic pyeloureteroplasty, with postoperative pathology confirming UFP. Follow-up (1-30 months) demonstrated satisfactory recovery and resolution of hydronephrosis.
Conclusions:
- Laparoscopic pyeloureteroplasty and ureteroureterostomy are optimal treatments for pediatric ureteral polyps.
- Surgical approach selection should be individualized based on polyp characteristics, ureteral involvement, and patient renal function.
Objective:
To summarize the diagnosis and treatment experience of children with intermittent hydronephrosis caused by ureteral fibroepithelial polyp (UFP).
Methods:
From 2017 to 2020, cases of hydronephrosis caused by ureteral polyp in Anhui Provincial Children's Hospital were retrospectively enrolled for investigation. Demographic data, clinical manifestations, operation details, pathology and outcomes were collected from patients' medical data for analysis.
Results:
All seven cases of UFP were boys, including six cases on the left side of the ureter and one case on the right side, at the median age of 7.1 years (3-14 years), with abdominal intermittent pain as the first symptom. All cases underwent laparoscopic pyeloureteroplasty. All the operations were completed successfully; postoperative pathology indicated the presence of primary UFP. Postoperative follow-ups of 1-30 months showed satisfactory recovery and relief from hydronephrosis.
Conclusions:
Laparoscopic pyeloureteroplasty or ureteroureterostomy is one of the optimal treatments for ureteral polyp at present. The surgical method should be determined according to the number of polyps, the length and the diameter of the affected ureter, and also the status of renal function of the patients.
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