MP23-06 THE NATURAL COURSE OF INCIDENTAL URETERAL POLYP DURING URETEROSCOPIC SURGERY: KSER RESEARCH

Abstract

You have accessJournal of UrologyCME1 Apr 2023MP23-06 THE NATURAL COURSE OF INCIDENTAL URETERAL POLYP DURING URETEROSCOPIC SURGERY: KSER RESEARCH Dae Hyuk Chung, Hyeji Park, Kyung-Jin Oh, Wonho Jung, Hyung Joon Kim, Sang Hyub Lee, Joo Yong Lee, Dong Sup Lee, and Sung Yong Cho Dae Hyuk ChungDae Hyuk Chung More articles by this author , Hyeji ParkHyeji Park More articles by this author , Kyung-Jin OhKyung-Jin Oh More articles by this author , Wonho JungWonho Jung More articles by this author , Hyung Joon KimHyung Joon Kim More articles by this author , Sang Hyub LeeSang Hyub Lee More articles by this author , Joo Yong LeeJoo Yong Lee More articles by this author , Dong Sup LeeDong Sup Lee More articles by this author , and Sung Yong ChoSung Yong Cho More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003248.06AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: The aim of this study was to observe the natural course of polypoid lesions of the ureter encountered during ureteroscopic stone treatment. METHODS: Patient data were gathered prospectively from six teaching hospitals between August 2019 and July 2021. Patients with polypoid lesions in the ureter distal to ureteral stones during ureteroscopy were enrolled in the present study. Computed tomography was performed in all enrolled patients three months postoperatively. However, the determination of follow-up ureteroscopy was contingent solely on each patient’s willingness, because of the need to undergo general anesthesia again and ethical considerations. RESULTS: Among 35 followed up patients, 14 exhibited fibroepithelial polyps and 21 were confirmed as having inflammatory polyps. Twenty (57.1%) of the followed-up patients underwent ureteroscopy; of these, nine patients had fibroepithelial polyps. Although fibroepithelial polys did not disappear in the follow-up ureteroscopy (p=0.002), the rate of postoperative hydronephrosis was not higher in the fibroepithelial group than it was in the inflammatory group. The postoperative ureteral stricture and moderate-to-severe hydronephrosis were found to be closely related to the number of resected polyps regardless of the type of polyp (p=0.014 and 0.006, respectively). CONCLUSIONS: The fibroepithelial polyp of the ureter may persist after treatment of adjacent urolithiasis. However, conservative management may be preferable to the active removal of ureteral polyps, because fibroepithelial polyps may not contribute to clinically significant postoperative hydronephrosis, and inflammatory polyps disappear spontaneously. Rather impellent resections of polyps may increase the risk of ureteral stricture. Source of Funding: The authors wish to acknowledge the financial support of the St. Vincent’s hospital, the research institute of medical science (SVHR-2018-06). In part, the present study was also supported by a grant from the Korean society of endourology and robotics in the program year of 2019 © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e307 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Dae Hyuk Chung More articles by this author Hyeji Park More articles by this author Kyung-Jin Oh More articles by this author Wonho Jung More articles by this author Hyung Joon Kim More articles by this author Sang Hyub Lee More articles by this author Joo Yong Lee More articles by this author Dong Sup Lee More articles by this author Sung Yong Cho More articles by this author Expand All Advertisement PDF downloadLoading ...