Endoscopic treatment of a long fibroepithelial ureteral polyp.
A case is reported of a 30-year-old woman with a long fibroepithelial polyp in the middle ureter treated with the Ho-YAG laser endoscopically. She presented with an intermittent macroscopic hematuria and lower abdominal pain lasting for 1 year. The filling defect on urography occupying one-third of the ureter was migratory depending on the patient position. Transurethral flexible ureterorenoscopy showed a large pedunculated tumor with a small base at the middle ureter. About 1 month after the endoscopic irradiation of the Ho-YAG laser to the base of tumor, the tumor was spontaneously discharged and pathologic examination revealed it to be a fibroepithelial polyp without malignant component. Postoperatively, the patient remained asymptomatic and follow-up excretory urographs showed no abnormal findings.
Yagi
S
S
Department of Urology, Kagoshima University Hospital, Kagoshima, Japan. urology@m2.kufm.kagoshima-u.ac.jp
Kawano
Y
Y
Gotanda
T
T
Kitagawa
T
T
Kawahara
M
M
Nakagawa
M
M
Higashi
Y
Y
D000328:Adult; D005260:Female; D006801:Humans; D053685:Laser Therapy / Q000379:methods*; D011127:Polyps / Q000601:surgery*; D014516:Ureteral Neoplasms / Q000601:surgery*; D018666:Ureteroscopy