V11-12 BILATERAL NEPHROLITHIASIS AND UPPER TRACT TCC IN HORSESHOE KIDNEY

Abstract

You have accessJournal of UrologyRenal Oncology II (V11)1 Sep 2021V11-12 BILATERAL NEPHROLITHIASIS AND UPPER TRACT TCC IN HORSESHOE KIDNEY Tareq Aro, Arun Rai, David Hoenig, Arthur Smith, and Zeph Okeke Tareq AroTareq Aro More articles by this author , Arun RaiArun Rai More articles by this author , David HoenigDavid Hoenig More articles by this author , Arthur SmithArthur Smith More articles by this author , and Zeph OkekeZeph Okeke More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002073.12AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Nephroureterectomy is the gold-standard treatment for High grade Upper tract urothelial carcinoma to date. Current guidelines and expert opinions offer some exceptions to this based on patient characteristics, disease status, and the contralateral kidney. METHODS: We present a rare case of a patient with horseshoe kidney, bilateral large nephrolithiasis, high-grade upper tract urothelial carcinoma in one moiety, and relative parenchymal thinning of the contralateral side. The patient was treated in a percutaneous minimally invasive, nephron sparing approach. Computed Tomography (CT) and Fluoroscopy images are provided, as well as live video of all procedures. RESULTS: Videos of multiple procedures are provided to demonstrate percutaneous resection of the tumor, stone lithotripsy, and repeat biopsies. The patient also had Intra collecting system instillations of gemcitabine and docetaxel, and video of post-installation percutaneous flexible nephroscopy is provided. CONCLUSIONS: Minimally invasive percutaneous resection of high-grade upper tract urothelial carcinoma is a safe procedure in select cases. Current guidelines may not apply to all patients; unique scenarios with upper tract urothelial carcinoma may require personalized decision making and treatment at specialized centers. Source of Funding: none © 2021 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e861-e861 Advertisement Copyright & Permissions© 2021 by American Urological Association Education and Research, Inc.MetricsAuthor Information Tareq Aro More articles by this author Arun Rai More articles by this author David Hoenig More articles by this author Arthur Smith More articles by this author Zeph Okeke More articles by this author Expand All Advertisement Loading ...