Ureteroscopy Is Indicated in every patient with suspected Upper Tract Urothelial Tumor Scott G. Hubosky, MD The Demetrius H. Bagley Jr., MD Associate Professor of Urology Director of Endourology Vice Chair of Quality and Safety Thomas Jefferson University Hospital Philadelphia, PA, USA
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Ureteroscopy Is Indicated in
every patient with suspected
Upper Tract Urothelial Tumor
Scott G. Hubosky, MD The Demetrius H. Bagley Jr., MD Associate Professor of Urology
Director of Endourology
Vice Chair of Quality and Safety
Thomas Jefferson University Hospital
Philadelphia, PA, USA
DISCLOSURES
• I HAVE NO FINANCIAL INTERESTS OR RELATIONSHIPS TO
DISCLOSE
MULTIPLE FILLING DEFECTS AND
GROSS HEMATURIA!
Ureteral Filling Defect with Gross Hematuria and
Flank Pain!!!
FIBROEPITHELIAL POLYPS
FIBROEPITHELIAL POLYPS
Benign Pathology Found after
Laparoscopic Radical NU
• 7/244 (2.9%) found to have Benign Pathology (Presumed UTUC)
• 5 did not have URS evaluation
• 2 incomplete URS evaluation (unable to access pathology)
• 5 with Ureteral Lesions CT Finding • Polypoid ureteritis / ureteral stone PeriUreteral Wall Thickening
• Urothelial hyperplasia / ureteral stone Enhancing Ureteral Soft Tissue Mass
• Inflammatory Pseudotumor 1.5 cm Enhancing Mass in Mid Ureter
• Submucosal Hemorrhage Enhancing Mass Distal Ureter