Laparoscopic Approach to a Rare Cause of Ureteropelvic Junction Obstruction in a Child: Ureteral Polyp

Arda, Mehmet Sürhan; İlhan, Hüseyin; Kara, Taylan; Arık, Deniz; Tokar, Baran

doi:10.1055/s-0035-1555654

Cited by 6 publications

(3 citation statements)

References 26 publications

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“…In fact, many studies report successful experiences with ureteroscopy using electrocautery and holmium laser excision [8,9] However, technical difficulties associated with patient age and polyp size place it at a disadvantage, especially when dealing with pediatric patients. Also, endoscopic procedures are associated with the risk of stenosis from overvaporization and recurrence due to incomplete resection [9,10]. Laparoscopic surgery has been reported to offer good results as another form of minimally invasive surgery.…”

Section: Discussionmentioning

confidence: 99%

“…In the pediatric population, laparoscopic surgery is limited due to the lack of adequate working space, and thus, not all approaches provide favorable access to the renal pelvis and ureteropelvic junction [10]. In our case, we performed upper ureteral segmental resection with end-to-end anastomosis because the IVP showed a dilated upper ureter and renal pelvis, a large polyp, and had a patient with a relatively small body; the decision for open surgery was made because of these reasons.…”

Section: Discussionmentioning

confidence: 99%

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Fibroepithelial Polyp in a Child: A Rare Pathology of Upper Urinary Tract Obstruction

Alhindi

Alaradi

Mubarak

2020

Cureus

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Fibroepithelial polyp is a rare benign tumor of the urothelial system that originates from the mesoderm. Polyps are usually small and located in the upper urinary tract and ureteropelvic junction. However, in the pediatric population, such polyps are more common in the posterior urethra and will present with symptoms of urinary tract obstruction. Some will present with flank pain and hematuria, resembling symptoms of ureteric stones. In this case, we discuss a nine-year-old boy presenting with complaints of flank pain and hematuria for one year. Following laboratory and radiological investigations, the left ureter was dilated at the midlumbar region with an anteroposterior diameter of 2.3 x 0.6 cm and a left renal pelvis anteroposterior diameter of 2.2 cm. An ultrasound scan identified an intraluminal lesion suspected to be a fibroepithelial polyp. Management was carried out via retroperitoneal surgery with upper ureteral resection and end-to-end anastomosis. Postoperatively, the patient's symptoms improved, and a subsequent ultrasound scan and renal function test showed improvement of the left hydroureter and hydronephrosis.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Fibroepithelial Polyp in a Child: A Rare Pathology of Upper Urinary Tract Obstruction

Alhindi

Alaradi

Mubarak

2020

Cureus

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“…2 Bilateral incidence is low. 3 The etiology of ureteral polyps is not clear. There are various factors such as genetic factors, irritability, infection, hormone and trauma.…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic approach for intermittent hydronephrosis caused by primary ureteral fibroepithelial polyps in children

Chu

Cao

Deng

2021

World Jnl Ped Surgery

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ObjectiveTo summarize the diagnosis and treatment experience of children with intermittent hydronephrosis caused by ureteral fibroepithelial polyp (UFP).MethodsFrom 2017 to 2020, cases of hydronephrosis caused by ureteral polyp in Anhui Provincial Children’s Hospital were retrospectively enrolled for investigation. Demographic data, clinical manifestations, operation details, pathology and outcomes were collected from patients’ medical data for analysis.ResultsAll seven cases of UFP were boys, including six cases on the left side of the ureter and one case on the right side, at the median age of 7.1 years (3–14 years), with abdominal intermittent pain as the first symptom. All cases underwent laparoscopic pyeloureteroplasty. All the operations were completed successfully; postoperative pathology indicated the presence of primary UFP. Postoperative follow-ups of 1–30 months showed satisfactory recovery and relief from hydronephrosis.ConclusionsLaparoscopic pyeloureteroplasty or ureteroureterostomy is one of the optimal treatments for ureteral polyp at present. The surgical method should be determined according to the number of polyps, the length and the diameter of the affected ureter, and also the status of renal function of the patients.

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Analysis of the Therapeutic Efficacy of Laparoscopic Treatment for Fibroepithelial Polyps of the Ureter in Children

Tao,

Cao,

Mao

2024

Journal of Endourology

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Laparoscopic Approach to a Rare Cause of Ureteropelvic Junction Obstruction in a Child: Ureteral Polyp

Cited by 6 publications

References 26 publications

Fibroepithelial Polyp in a Child: A Rare Pathology of Upper Urinary Tract Obstruction

Fibroepithelial Polyp in a Child: A Rare Pathology of Upper Urinary Tract Obstruction

Laparoscopic approach for intermittent hydronephrosis caused by primary ureteral fibroepithelial polyps in children

Analysis of the Therapeutic Efficacy of Laparoscopic Treatment for Fibroepithelial Polyps of the Ureter in Children

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