[Diagnostic antegrade ureteroscopy of the upper urinary tract in the orthotopic neobladder].
OBJECTIVE
To demonstrate the usefulness of antegrade endoscopical examination in the evaluation of the upper urinary tract pathology in patients with orthotopic neobladder.


RESULTS
We present the technique of percutaneous antegrade ureteroscopy and the indications for treatment of the upper urinary tract urothelial tumor (radical or conservative) depending on multiple pyelo-calyceal biopsies and tumor lesions.


CONCLUSIONS
Endoscopical evaluation of the upper urinary tract in patients with orthotopic neobladder offers safer information than urine analysis, urine cytology, and the various radiological tests. The difficulty for retrograde examination is on the identification of the ureteral neomeatus, so that in case of failure, antegrade percutaneous approach allows complete ureteral and pyelocalyceal examination and biopsies thanks to the development of flexible endoscopes. The information supplied by these endoscopical examinations of upper urinary tract urothelial tumors (grade, stage, multifocality) allows the choice of radical or conservative (open surgery or endoscopical) treatment.
Fernández González
Inmaculada
I
Servicio de Urología, Hospital Universitario de Getafe, Getafe, España. inmaculadafer186@hotmail.com
Aguilera Bazan
Alfredo
A
Espinales Castro
Gino
G
Rodríguez García
Nuria
N
Pascual Mateo
Carlos
C
García Mediero
Jose María
JM
Llanes González
Luis
L
Berenguer Sánchez
Antonio
A
D005260:Female; D006801:Humans; D007680:Kidney Neoplasms / Q000175:diagnosis*; D008875:Middle Aged; D011183:Postoperative Complications / Q000175:diagnosis*; D014516:Ureteral Neoplasms / Q000175:diagnosis*; D018666:Ureteroscopy / Q000379:methods; D016476:Urinary Reservoirs, Continent