Endoscopic treatment of simultaneously detected fibroepithelial polyps of ureter and bladder

Üriner sistemin fibroepitelyal polipleri ender görülen ve günümüzde endoskopik olarak tedaviedilen iyi huylu tümörlerdir. Endoskopik tedavi küçük boyutlu polipler için altı n standart olarakkabul edilmekle birlikte, büyük boyutlu poliplerin tedavisi hakkı nda kesin bir görü ș birli ğ i yoktur. Burada sistoskopi esnası nda mesane ve üreterde e șzamanl ı olarak tespit edilen fibropitelyalpolipleri olan vakam ı z ı ve üreterdeki 7 cm uzunlu ğ undaki polipin holmium:YAG laser ile endoskopik olarak ç ı kartı lmas ı n ı tarifliyoruz.

Mesane ve üreterde eș zamanlı olarak tespit edilen fibroepitelyal poliplerin endoskopik tedavisi

Fibroepithelial polyps of the urinary tract are rare benign tumors that usually treated withendoscopically today. Endoscopic treatment have been regarded as the gold standart for smalllesions, while the management modality for long lesion is stil controversial. We report a case ofsimultaneous fibroepithelial polyps of bladder and ureter which is incidentally detected oncystoscopy. We review our experience with ureteroscopic management of long (7 cm) ureteralfibroepithlial polyp by holmium: yttrium- aluminum- garnet (YAG) laser resection.

___

  • 1. Bolton D, Stoller ML, Irby P: Fibroepithelial ureteral polyps and urolithiasis. Urology 1994; 44: 582-7.
  • 2. Wang ZJ, Meng MV: Ureteral fibroepithelial polyp. J Ultrasound Med 2008; 27: 1647-9.
  • 3. Williams TR, Wagner BJ, Corse WR: Fibroepithelial polyps of the urinary tract. Abdom Imag 2002; 27: 217-21.
  • 4. Lam JS, Bingham JB, Gupta M: Endoscopic treatment of fibroepithelial polyps of the renal pelvis and ureter. Urology 2003; 62: 810-3.
  • 5. Carey RI, Bird VG: Endoscopic management of 10 separate fibroepithelial polyps arising in a single ureter. Urology 2006; 67: 413-5.
  • 6. Kiel H, Ullrich T, Roessler W, et al: Benign ureteral tumors: four case reports and review of the literature. Urol Int 1999; 63: 201-5.
  • 7. Brady JD, Korman HJ, Civantos F, et al: Fibroepithelial polyp of the renal pelvis: nephron sparing surgery after false- positive biopsy for transitionel carcinoma. Urology 1997;49:201-5
  • 8. Tekdogan UY, Canaklı F, Aslan Y, et al: Bilateral ureteral fibroepithelial polyps and review of the literature. Int J Urol 2005; 12: 98-100.
  • 9. Kumar A, Das SK, Trivedi S, et al: Genito-urinary polyps: summary of the
  • 10 -years experiences of a single institute. Int Urol Nephrol 2008; 40: 901-7. 10. Yeh CC, Lin HC, Chen CC, et al: Ureteral fibroepithelial polyp prolapsed into the bladder cavity suspending a bladder stone. J Urol 2001; 165: 1627-8.
  • 11. Sun Y, Xu C, Wen X, et al: Is endoscopic management suitable for long ureteral fibroepitelial polyps? J Endourol 2008; 22: 1459-62.