PTU - Polskie Towarzystwo Urologiczne
list of articles:

Vesico — uretral reflux as the cause of bladder cancer invasion
Article published in Urologia Polska 1993/46/2.


Zbigniew Wolski, Andrzej Borówka, Andrzej Borkowski
Z Katedry i Kliniki Urologii A.M. w Warszawie Kierownik: prof. dr hab. med. A. Borkowski


Urothelial neoplasms of the upper urinary tract have been observed in 7 patients treated with trans-urethral electroresection because of bladder cancer. In 5(71,(4%) of them vesic-o-ureteral reflux on the tumour side has been noticed.
Vesico-urethral reflux with the ureteral or/and the reual pelvic tumour stated unilaterally were the conse±uence of the electro-resection. It is possible that the reflux allowed the implantation of carcinoma cells from the urinary bladder.


  1. 1.Amar A., Das S..: Upper urinary tract transitional cell carcinoma in patients with bladder carcinoma and associated vesicoureteral reflux. J. Urol., 1985, 133, 468. —
  2. 2. Bishop M.: Diagnostic procedures. Bladder cancer. Ed. Zingg E., Wallace D. Springer-Verlag, 1985, 97. —
  3. 3. Droller M.: Transitional cell cancer: upper tracts and bladder. CambeH\\\'s Urology, 1986, 2, 1408. —
  4. 4. Freed S.: Vesicoureteral reflux following transurethral resection of bladder tumors. J. Urol., 1976, 116, 184. —
  5. 5. Herr H.: Durable response carcinoma in situ of the renal pelvis to topical bacillus Calmette-Guerin. J. Urol., 1985, 134, 531. —
  6. 6. Mateos J., Gassoi J., Redona J., RoblesJ.: Vesicorenal reflux and upper urinary tract transitional cell carcinoma after transurethral resection of recurrent superficial bladder carcinoma. J. Urol., 1987, 138, 49. —
  7. 7.Mukamel E., Glanz I., Nissenkorn I., Cytron S., Servadio C: Unanticipated vesicoureteral reflux: a posible se±uela of long-term Thio-Tepa instillations to the bladder. J. Urol., 1982,127, 245. —
  8. 8. OldbringJ., Glifberg I., Mikulowski P., Hellsten S.: Carcinoma of the renal pelvis and ureter following bladder carcinoma: fre±uency, risk factor and clinicopathological findings. J. Urol., 1989, 141, 1311. —
  9. 9. Schmidt J., Jacobo E., Weinstein S.: Vesicoureteral reflux in recurrent carcinoma of the bladder — implications for treatment and prognosis. J. Urol., 1976, 116, 734. —
  10. 10. Studer U., Casanov± G., Kraft R., Zingg E.: Percutaneous bacillius Calmette-Guerin perfusion of the upper urinary tract for carcinoma in situ. J. Urol., 1989, 142, 975.
  11. 11.Zingg E., Wallace D.: The treatment of superficial bladder tumors. Bladder cancer. Ed. Zingg E., Wallace D., Springer-Verlag, 1985, 172. —
  12. 12. Zieliński J.: Onkologia urologiczna.PZWL, 1986, Warszawa.


dr med. Zbigniew Wolski, Klinika Urologii A.M.
02-005 Warszawa, ul. Lindleya 4