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The diagnosis and management of benign fibrous ureteric polyps
Insights
Benign fibrous ureteric polyps can often be diagnosed before surgery. Conservative local excision is recommended over nephroureterectomy for managing these ureteric tumors.
Area of Science:
- Urology
- Surgical Pathology
Background:
- Benign fibrous ureteric polyps are rare ureteric tumors.
- Diagnosis and management strategies require clear definition.
Purpose of the Study:
- To discuss the diagnosis and management of benign fibrous ureteric polyps.
- To suggest optimal surgical approaches for these lesions.
Main Methods:
- Review of clinical presentation and diagnostic findings.
- Intraoperative confirmation of polyp characteristics.
- Analysis of surgical outcomes.
Main Results:
- Pre-operative diagnosis suggested by loin pain, hematuria, and radiological findings in younger patients.
- Characteristic polyp fronds confirmed during surgery.
- Successful conservative local excision demonstrated.
Conclusions:
- A specific clinical and radiological profile aids in pre-operative diagnosis.
- Conservative local excision is a viable and recommended management strategy.
- Nephroureterectomy is often unnecessary for benign fibrous ureteric polyps.
Abstract:
The diagnosis and management of benign fibrous ureteric polyps are discussed. A pre-operative diagnosis is suggested by a long history of loin pain or haematuria, both, in a younger patient with the radiological findings of ureteric obstruction or a radiolucent ureteric filling defect. The diagnosis is confirmed at operation by opening the ureter and exposing characteristic fronds of polyps arising from a common base. It is suggested that management should be conservative local excision and not nephroureterectomy, as previously practised.