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10.5489/cuaj.2878

http://scihub22266oqcxt.onion/10.5489/cuaj.2878
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C4581930!4581930!26425226
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suck abstract from ncbi


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pmid26425226      Can+Urol+Assoc+J 2015 ; 9 (9-10): E631-7
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  • Treatment and outcome of fibroepithelial ureteral polyps: A systematic literature review #MMPMID26425226
  • Ludwig DJ; Buddingh KT; Kums JJ; Kropman RF; Roshani H; Hirdes WH
  • Can Urol Assoc J 2015[Sep]; 9 (9-10): E631-7 PMID26425226show ga
  • Introduction:: Fibroepithelial polyps of the ureter are rare. Cases and small series are reported in the literature. The treatment of choice, outcome and appropriate follow-up regimen remain unclear. Methods:: We conducted a systematic literature review of papers reporting fibroepithelial polyps of the ureter in adult patients. Articles published before 1980 were excluded. Results:: The search yielded 144 papers, of which 68 met the inclusion criteria. A reference scan from the included 68 yielded an additional 7 new articles. In total, our study included 75 articles (68 + 7). A total of 134 patients were described. Most patients had a single lesion (range: 1?10). The median length of the polyp was 4.0 cm (range: 0.4?17.0). The percentage of polyps resected endoscopically increased from 0% before 1985 to 67% after 2005. Two perioperative complications were reported in 72 procedures (2.8%): a deep venous thrombosis and a case of mesenteric lymphadenopathy. Both of these occurred after open surgery. Follow-up data were available for 57 patients. The median follow-up was 12 months (range: 1?180). Four patients (7.0%) developed recurrent complaints: 2 had urinary stones, 1 had a ureteral stricture and 1 had recurrence of the polyp. Three of these events followed endoscopic resection, and occurred within a year after the procedure. Conclusion:: Endoscopic resection of fibroepithelial polyps seems to be safe and effective. It is minimally invasive and should be considered the gold standard where endoscopic expertise is available. We advise follow-up imaging by computed tomographic intravenous urography after 3 months and ultrasound after 1 year to detect late complications.
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