title: Incision of the ureterovesical junction for endoscopic surveillance of transitional cell cancer of the upper urinary tract.
abstract: Ureteroscopy for treatment of upper tract transitional cell cancer is complicated by the need for subsequent outpatient, anesthesia-based, surveillance ureteroscopy to detect recurrent tumors. We report on 2 patients with ureteroscopically treated renal pelvic transitional cell carcinoma in whom the ureteral tunnel was incised. By rendering the ureterovesical junction incompetent, we created a widely patent refluxing ureteral orifice. During the last 2 years we have been able to perform repeatedly office-based flexible surveillance ureteroscopy without fluoroscopy and without oral or parenteral analgesics in both patients.
authors.affiliation: Department of Surgery (Division of Urology), Washington University School of Medicine, St. Louis, Missouri.
authors.forename: K
authors.initials: K
authors.lastname: Kerbl
authors.forename: R V
authors.initials: RV
authors.lastname: Clayman
mesh_terms: D002295:Carcinoma, Transitional Cell / Q000175:diagnosis*; D004724:Endoscopy / Q000379:methods*; D005500:Follow-Up Studies; D006801:Humans; D007680:Kidney Neoplasms / Q000175:diagnosis*; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000175:diagnosis*; D014513:Ureter / Q000601:surgery*; D001743:Urinary Bladder / Q000601:surgery*