Erdinç DİNÇER, Ahmet ŞAHAN, Alkan ÇUBUK, Şükran SARIKAYA, Oktay AKÇA

The Laparoscopıc Management Of The Huge Dıstal Fıbroepıthelıal Polyp: A Case Report

Fibroepithelial polyps are the most common benign neoplasm of ureter that originate from mesoderm. These polyps are one of the causes of hydronephrosis by obstructing the ureter. Etiology is not fully defined but there are some publications in the literature suggested that it is due to congenital, infectious, obstructive, traumatic, hormonal imbalances and irritative causes. A 36 years old male patient who admitted with left flank pain and fever. He had a history of endoscopic left ureteric stone surgery 3 years ago. In radiological evaluation with USG and CT, grade 3 hydroureteronephrosis was detected of the left kidney; however, no stone was detected. Ureterorenoscopy detected a 5x1 cm ureteral polyp in the distal ureter and punch biopsy confirmed fibroepithelial polyp. We performed laparoscopic excision of the polypoid segment and ureteroneocystostomy. Although it is rare, fibroepithelial polyp should be considered in hydronephrosis without any urinary stone or malignancy.

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1. Abdessater M, Kanbar A, Khoury JE, Hachem CE, Halabi R, Boustany J, et al. Endourologic treatment for a fibroepithelial ureteral polyp protruding from the urethra. J Surg Case Rep. 2019; 2019: rjz320.
2. Oguzkurt P, Oz S, Oguzkurt L, Kayaselcuk F, Tercan F. An unusual cause of complete distal ureteral obstruction: giant fibroepithelial polyp. J Pediatr Surg 2004; 39: 1733-1734.
3. Baltogiannis D, Kafetsoulis A, Giannakis D, Saito M, Miyagawa I, Sofikitis N. Fibroepithelial polyp of distal ureter with periodic prolapse into bladder. Urol Int 2008; 80: 338-340.
4. Şahan A, Ozkaptan O, Cubuk A, Şimşek B, Tanidir Y, Akça O. Fast, Easy, and Safe Establishment of Pneumoperitoneum in Laparoscopic Surgery: The Fingertip Technique. JSLS : Journal of the Society of Laparoendoscopic Surgeons 2021; 25 (1).
5. Ludwig DJ, Buddingh KT, Kums JJ, Kropman RF, Roshani H, Hirdes WH. Treatment and outcome of fibroepithelial ureteral polyps: A systematic literature review. Can Urol Assoc J 2015; 9: E631-7.
6. Graff J, Patnaik S, Cohen T, Memo M. Ureteral Polyp Managed by Endoscopic Techniques. Rev Urol 2019; 21: 45-48.
7. Ucar M, Bas E, Akkoc A, Topcuoglu M. Fibroepithelial Polyp of the Ureter: A Rare Cause of Hydronephrosis. J Endourol Case Rep 2018; 4: 166-168.
8. Sinha RK, Jindal T, Kamal MR, Karmakar D. Fibroepithelial polyp of the ureter. BMJ Case Rep 2013; 2013.
9. Sun Y, Xu C, Wen X, Ren S, Ye H, Gao X, et al. Is endoscopic management suitable for long ureteral fibroepithelial polyps? J Endourol 2008; 22: 1459-1462.
10. Hong P, Cai Y, Li Z, Fan S, Yang K, Hao H, et al. Modified Laparoscopic Partial Ureterectomy for Adult Ureteral Fibroepithelial Polyp: Technique and Initial Experience. Urol Int 2019; 102: 13-19.