Case report: percutaneous management of transitional-cell carcinoma of the upper urinary tract using the bipolar resectoscope

Douglas W Storm; Brant R Fulmer

doi:10.1089/end.2006.0415

Back

Case report: percutaneous management of transitional-cell carcinoma of the upper urinary tract using the bipolar resectoscope

Journal article

Peer reviewed

Case report: percutaneous management of transitional-cell carcinoma of the upper urinary tract using the bipolar resectoscope

Douglas W Storm and Brant R Fulmer

Journal of endourology, Vol.21(9), pp.1011-1013

09/2007

DOI: 10.1089/end.2006.0415

PMID: 17941777

View Online

Abstract

The traditional management of upper-tract urothelial tumors is radical nephroureterectomy. However, in recent years, minimally invasive nephron-sparing endoscopic approaches have been utilized. We present our initial experience using the bipolar resectoscope with saline irrigation in the management of renal transitional-cell carcinoma (TCC). A 74-year-old woman presented with a 3.5-cm filling defect in the collecting system on CT. Cystoscopy and retrograde ureterography demonstrated normal bladder mucosa and a normal contralateral ureter. Ureteroscopy revealed a papillary TCC in the renal pelvis. Ureteroscopic treatment was declined because of the lesion's size. We elected to proceed with percutaneous resection. Using the bipolar resectoscope, the lesion was removed completely. The procedure was accomplished in 90 minutes. The estimated blood loss was 50 mL. The hospital stay was 23 hours. Pathology examination revealed a low-grade TCC. Follow-up for 9 months has shown no recurrence. In our initial experience, percutaneous treatment of upper-tract urothelial tumors may be accomplished using the bipolar resectoscope with favorable results.

Carcinoma, Papillary - therapy

Urologic Neoplasms - diagnosis

Carcinoma, Transitional Cell - diagnosis

Humans

Electrocoagulation - methods

Tomography, X-Ray Computed

Treatment Outcome

Ureteroscopes

Nephrons - pathology

Urothelium - pathology

Kidney - metabolism

Female

Urinary Tract - pathology

Aged

Carcinoma, Transitional Cell - surgery

Urologic Neoplasms - surgery

Details

Title: Subtitle: Case report: percutaneous management of transitional-cell carcinoma of the upper urinary tract using the bipolar resectoscope
Creators: Douglas W Storm - Department of Urology, Geisinger Clinic and Medical Center, Danville, Pennsylvania 17822, USA. dwstorm@geisinger.edu
Brant R Fulmer
Resource Type: Journal article
Publication Details: Journal of endourology, Vol.21(9), pp.1011-1013
Publisher: United States
DOI: 10.1089/end.2006.0415
PMID: 17941777
ISSN: 0892-7790
eISSN: 1557-900X
Language: English
Date published: 09/2007
Academic Unit: Stead Family Department of Pediatrics; Urology
Record Identifier: 9984051573202771

Metrics

19 Record Views

6 Times Cited - Web of Science