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[Endoscopic removal of the ureter prior to nephroureterectomy. Preliminary analysis]
A C Polo Peris1, V Gonzalvo Pérez, J A Navarro Antón
1Servicio de Urología, Hospital Lluís Alcanyis de Xátiva, Valencia.
Aim Of The Study:
To describe a simplified technique for nephroureterectomy based on a prior endoscopic disconnection of the ureter or transurethral circumcision of the ureteral orifice.
Patients And Methods:
From November 1993 to December 1997 we treated 16 patients diagnosed with cancer of the renal pelvis of proximal ureter, using this technique. Mean age was 68.8, 15 males and 1 female.
Results:
There was no operative or postoperative complications. Mean follow up was 17 months and the mean hospital stay was 7.2 days.
Conclusions:
We believe that this is an easy technique to learn, that significantly cut down the operating time, reduce postoperative complications and it is adequate for upper tract urothelial cancer treatment.