Fibroepithelial polyps of the ureter: A single-institutional experience

M. Adam Childs, Eric C. Umbreit, Amy E. Krambeck, Thomas J. Sebo, David E. Patterson, Matthew T. Gettman

Research output: Contribution to journalArticle

25 Citations (Scopus)

Abstract

Objective: Ureteral fibroepithelial polyps (UFP) are rare lesions that may mimic ureteral malignancy, and management is not well defined. We report our experience with the management of UFP. Materials and Methods: Between 1945 and 2008, review of our clinical database identified 27 patients who were found to have UFP. Single-pathologist review excluded five patients (three papilloma, one inflammatory pseudopolyp, and one nondiagnostic). Fisher's exact methods were utilized to assess significance of clinical associations. Results: Mean age at diagnosis was 40 years (range 7-73 years) and 68% were male. Mean follow-up was 37 months (range 2-276 months). History of urologic conditions occurred in 13 patients: 7 (32%) urolithiasis, 2 (9%) ureteral stents, 1 (5%) recurrent urinary tract infection, and 3 (14%) ureteropelvic junction obstruction. Mean UFP diameter was 2cm (range 0.5-4cm). UFP was more common in the left ureter (68%, 15/22). UFP location within the ureter was proximal in 13 (59%, 15/22), mid in 4 (18%, 4/22), and distal in 4 (18%, 4/22) with multiple UFP along the length of one ureter. Six patients (27%) had multiple UFP. Open surgery, last performed in 1994, was the initial treatment in 10 (45%, 10/22) patients. Endoscopic treatment was performed in 12 (55%, 12/22) patients and was successful in 11. After endoscopic treatment, open surgical treatment was required in 3 patients with ureteral stricture and 1 patient with incomplete polyp resection. UFP reoccurred in 1 patient (1/12) at 26 months and was successfully treated with ureteroscopy. Conclusions: We conclude that UFP can be successfully managed with endoscopic techniques. Postoperative surveillance is recommended for potential early detection of ureteral stricture or recurrence.

Original languageEnglish (US)
Pages (from-to)1415-1419
Number of pages5
JournalJournal of Endourology
Volume23
Issue number9
DOIs
StatePublished - Sep 1 2009

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Ureter
Polyps
Pathologic Constriction
Ureteroscopy
Urolithiasis
Papilloma
Therapeutics
Urinary Tract Infections
Stents
Databases
Recurrence

ASJC Scopus subject areas

  • Urology

Cite this

Childs, M. A., Umbreit, E. C., Krambeck, A. E., Sebo, T. J., Patterson, D. E., & Gettman, M. T. (2009). Fibroepithelial polyps of the ureter: A single-institutional experience. Journal of Endourology, 23(9), 1415-1419. https://doi.org/10.1089/end.2009.0403

Fibroepithelial polyps of the ureter : A single-institutional experience. / Childs, M. Adam; Umbreit, Eric C.; Krambeck, Amy E.; Sebo, Thomas J.; Patterson, David E.; Gettman, Matthew T.

In: Journal of Endourology, Vol. 23, No. 9, 01.09.2009, p. 1415-1419.

Research output: Contribution to journalArticle

Childs, MA, Umbreit, EC, Krambeck, AE, Sebo, TJ, Patterson, DE & Gettman, MT 2009, 'Fibroepithelial polyps of the ureter: A single-institutional experience', Journal of Endourology, vol. 23, no. 9, pp. 1415-1419. https://doi.org/10.1089/end.2009.0403
Childs MA, Umbreit EC, Krambeck AE, Sebo TJ, Patterson DE, Gettman MT. Fibroepithelial polyps of the ureter: A single-institutional experience. Journal of Endourology. 2009 Sep 1;23(9):1415-1419. https://doi.org/10.1089/end.2009.0403
Childs, M. Adam ; Umbreit, Eric C. ; Krambeck, Amy E. ; Sebo, Thomas J. ; Patterson, David E. ; Gettman, Matthew T. / Fibroepithelial polyps of the ureter : A single-institutional experience. In: Journal of Endourology. 2009 ; Vol. 23, No. 9. pp. 1415-1419.
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abstract = "Objective: Ureteral fibroepithelial polyps (UFP) are rare lesions that may mimic ureteral malignancy, and management is not well defined. We report our experience with the management of UFP. Materials and Methods: Between 1945 and 2008, review of our clinical database identified 27 patients who were found to have UFP. Single-pathologist review excluded five patients (three papilloma, one inflammatory pseudopolyp, and one nondiagnostic). Fisher's exact methods were utilized to assess significance of clinical associations. Results: Mean age at diagnosis was 40 years (range 7-73 years) and 68{\%} were male. Mean follow-up was 37 months (range 2-276 months). History of urologic conditions occurred in 13 patients: 7 (32{\%}) urolithiasis, 2 (9{\%}) ureteral stents, 1 (5{\%}) recurrent urinary tract infection, and 3 (14{\%}) ureteropelvic junction obstruction. Mean UFP diameter was 2cm (range 0.5-4cm). UFP was more common in the left ureter (68{\%}, 15/22). UFP location within the ureter was proximal in 13 (59{\%}, 15/22), mid in 4 (18{\%}, 4/22), and distal in 4 (18{\%}, 4/22) with multiple UFP along the length of one ureter. Six patients (27{\%}) had multiple UFP. Open surgery, last performed in 1994, was the initial treatment in 10 (45{\%}, 10/22) patients. Endoscopic treatment was performed in 12 (55{\%}, 12/22) patients and was successful in 11. After endoscopic treatment, open surgical treatment was required in 3 patients with ureteral stricture and 1 patient with incomplete polyp resection. UFP reoccurred in 1 patient (1/12) at 26 months and was successfully treated with ureteroscopy. Conclusions: We conclude that UFP can be successfully managed with endoscopic techniques. Postoperative surveillance is recommended for potential early detection of ureteral stricture or recurrence.",
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