Endourologic management of upper tract transitional cell carcinoma following cystectomy and urinary diversion.
Publication/Presentation Date
1-1-2009
Abstract
Traditionally, nephroureterectomy is the gold standard therapy for upper tract recurrence of transitional cell carcinoma (TCC) following cystectomy and urinary diversion. With advances in endoscopic equipment and improvements in technique, conservative endourologic management via a retrograde or antegrade approach is technically feasible with acceptable outcomes in patients with bilateral disease, solitary renal units, chronic renal insufficiency, or significant medical comorbidities. Contemporary studies have expanded the utility of these techniques to include low-grade, low-volume disease in patients with a normal contralateral kidney. The aim of this report is to review the current outcomes of conservative management for upper tract disease and discuss its application and relevance in patients following cystectomy with lower urinary tract reconstruction.
Volume
2009
First Page
976401
Last Page
976401
ISSN
1687-6369
Published In/Presented At
Tomaszewski, J. J., Smaldone, M. C., & Ost, M. C. (2009). Endourologic management of upper tract transitional cell carcinoma following cystectomy and urinary diversion. Advances in urology, 2009, 976401. https://doi.org/10.1155/2009/976401
Disciplines
Medicine and Health Sciences
PubMedID
19125199
Department(s)
Department of Surgery
Document Type
Article