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 Scopus citations

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

ASJC Scopus subject areas

  • Urology

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    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