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Case Reports
. 2015 Oct 1;1(1):36-8.
doi: 10.1089/cren.2015.29014.sgh. eCollection 2015.

Laser Resection of Fibroepithelial Polyps with Digital Ureteroscopy

Scott G Hubosky  1 , Demetrius H Bagley  1
Affiliations
Case Reports

Laser Resection of Fibroepithelial Polyps with Digital Ureteroscopy

Scott G Hubosky et al. J Endourol Case Rep. .

Abstract

Fibroepithelial polyps (FEPs) are rare benign upper urinary-tract neoplasms originating from mesodermal components of the ureteral wall covered in normal urothelial epithelium. Historically, these lesions have been treated with endoscopic, laparoscopic, or open means depending on the size, number, and morphology of the polyps. Digital ureteroscopy (DURS) offers many advantages over fiber-optic endoscopy, including superior resolution and potential ergonomic benefits, given the absence of external cameras and light cords. We describe a case involving multiple proximal ureteral FEPs treated with flexible DURS and the holmium (Ho) laser, in which the digital ureteroscope offered exceptional visualization of the FEP stalks allowing for straightforward resection and endoscopic removal.

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Figures

<b>FIG. 1.</b>
FIG. 1.
Coronal view of CT urogram shows a 3 cm linear filling defect in the right proximal ureter.
<b>FIG. 2.</b>
FIG. 2.
Flexible digital ureteroscopy clearly shows the stalks of three separate fibroepithelial polyps at the 12, 2, and 7 o'clock positions. The tips of the polyps are blown backwards from irrigation through the ureteroscope.
<b>FIG. 3.</b>
FIG. 3.
Close-up view of the polyp stalk with digital flexible ureteroscopy. Note the clear plane of separation from the normal ureteral wall (left) from the base of the polyp (right). Clear visualization allows for efficient laser resection of the stalk.
<b>FIG. 4.</b>
FIG. 4.
A 3 cm fibroepithelial polyp removed en bloc with a 2.4F stainless steel flat-wire basket.
See this image and copyright information in PMC

References

    1. Georgescu D, Multescu R, Geavlete BF, et al. . Fibroepithelial polyps—a rare pathology of the upper urinary tract. Rom J Morphol Embryol 2014;55:1325–1330 - PubMed
    1. Childs MA, Umbreit EC, Krambeck AE, et al. . Fibroepithelial polyps of the ureter: A single-institution experience. J Endourol 2009;23:1415–1419 - PubMed
    1. Zervas A, Rassidakis G, Nakopoulou L, et al. . Transitional cell carcinoma arising from a fibroepithelial ureteral polyp in a patient with duplicated urinary tract. J Urol 1997;157:2252–2253 - PubMed
    1. Andonian S, Okeke Z, Smith AD. Digital ureteroscopy: The next step. J Endourol 2008;22:603–605 - PubMed

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