V02-10 ROBOTIC ASSISTED LAPAROSCOPIC EXCISION OF A FIBROEPITHELIAL POLYP OF THE URETER

Abstract

You have accessJournal of UrologyMisc. Benign Disease & Transplant & Renovascular (V02)1 Sep 2021V02-10 ROBOTIC ASSISTED LAPAROSCOPIC EXCISION OF A FIBROEPITHELIAL POLYP OF THE URETER Zain Hyder, and Nathaniel Polnaszek Zain HyderZain Hyder More articles by this author , and Nathaniel PolnaszekNathaniel Polnaszek More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000001979.10AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Fibroepithelial polyps of the urinary tract are rare tumors and are considered to be benign. We aim to present an exceedingly rare case of a large fibroepithelial polyp and describe its management. METHODS: The patient was a 32-year-old healthy female who presented with gross hematuria. Workup including CT IVP (computed tomography and intravenous pyelogram) demonstrated a large left mid ureteral mass. The patient underwent diagnostic ureteroscopy with biopsy of the mass followed by robotic excision of the mass and reconstruction of the ureter. RESULTS: The total operative time for the case was 185 minutes. In this time, diagnostic ureteroscopy was performed defining the large intramural mass with multiple sites of attachment. Frozen sections of the mass were obtained and demonstrated benign pathology. Robotic assisted laparoscopic exposure of the ureter was performed. A longitudinal ureterotomy was made and the mass was delivered out of the ureter. The mass measuring 7.1cm was entirely excised. The remaining ureter was tailored and reconstructed around an indwelling ureteral stent. The patient was discharged on post-operative day 1. A five month follow up with an Xray IVP showed a patent ureter without hydronephrosis. CONCLUSIONS: Fibroepithelial polyps are rare benign tumors. We demonstrated with an interesting case that robotic management of even very large masses is feasible with favorable post-operative outcomes. Source of Funding: None © 2021 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e136-e136 Advertisement Copyright & Permissions© 2021 by American Urological Association Education and Research, Inc.MetricsAuthor Information Zain Hyder More articles by this author Nathaniel Polnaszek More articles by this author Expand All Advertisement Loading ...