Related Experiment Videos
Endoscopic evaluation and treatment of patients with idiopathic gross hematuria
Insights
Newer endoscopic techniques successfully treated essential gross hematuria in four patients. Ureterorenoscopy and percutaneous nephroscopy identified and fulgurated bleeding sites, resolving the condition during follow-up.
Area of Science:
- Urology
- Endourology
- Nephrology
Background:
- Essential gross hematuria is a challenging clinical condition.
- Unilateral essential gross hematuria requires precise diagnosis and targeted treatment.
- Traditional management may have limitations in identifying the bleeding source.
Observation:
- Four patients with long-standing unilateral essential gross hematuria were evaluated.
- Advanced endourological procedures, including ureterorenoscopy and percutaneous nephroscopy, were utilized.
- Bleeding sites were localized using these minimally invasive techniques.
Findings:
- Percutaneous nephroscopy identified the bleeding source in three patients.
- Ureterorenoscopy identified the bleeding source in one patient.
- Fulguration of identified bleeding sites led to complete resolution of hematuria in all patients.
Implications:
- Percutaneous nephroscopy and ureterorenoscopy are effective in managing unilateral essential gross hematuria.
- These endourological techniques offer a minimally invasive approach to identify and treat bleeding sources.
- Consideration of these advanced techniques is recommended for selected patients with this condition.
Abstract:
We evaluated 4 patients with long-standing unilateral essential gross hematuria by newer endourological techniques. All 4 patients underwent ureterorenoscopy and 3 underwent percutaneous nephroscopy. Nephroscopy identified a bleeding site in 3 patients and ureteroscopy in 1. The bleeding sites were fulgurated and the hematuria has not recurred during followup. Percutaneous nephroscopy and/or ureterorenoscopy should be considered in selected patients with unilateral essential gross hematuria.