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Fibroepithelial polyps causing obstructive hydronephrosis treated with pyeloplasty: A case report.

Jonathan Alexis Balcazar¹, Anne Shirley Hoselton¹, Kyung Park¹

¹Anne Burnett Marion School of Medicine at Texas Christian University, Fort Worth, TX, USA.

Urology Case Reports

|September 11, 2024

Summary

Fibroepithelial polyps (FEP), rare urinary tract tumors, can cause hydronephrosis. Robotic pyeloplasty and tumor excision successfully treated a symptomatic FEP, preserving kidney function.

Keywords:

Endoscopic Fibroepithelial polyp Hydronephrosis Pyeloplasty

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Area of Science:

Urology
Oncology

Background:

Fibroepithelial polyps (FEP) are uncommon benign neoplasms of the urinary collecting system.
Diagnosis often relies on imaging like Computed Tomography (CT) and histopathological confirmation.
Treatment strategies have evolved from radical nephroureterectomy to less invasive ablation techniques.

Observation:

A case study details a patient with a symptomatic FEP.
The polyp caused left-sided hydronephrosis and intermittent flank pain.
The condition was managed by a urologic surgeon.

Findings:

The patient underwent robotic pyeloplasty combined with tumor excision.
This minimally invasive approach resulted in preserved renal function.
Successful resolution of hydronephrosis and flank pain was achieved.

Implications:

Robotic pyeloplasty offers a viable, function-preserving treatment for symptomatic urinary FEPs.
This approach may become a preferred alternative to traditional radical surgeries.
Further research into minimally invasive techniques for FEP management is warranted.