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Ureteronephrectomy with transurethral excision of a bladder cuff
Article published in Urologia Polska 2004/57/1.

authors

Wojciech Pawłowski 1, Andrzej Prajsner 2, Jan Myrta 1
1 Oddział Urologii Wojewódzkiego Szpitala Specjalistycznego im. ¦w. Barbary w Sosnowcu
Kierownik oddziału: dr n. med. Jan Myrta
2 I Katedra i Klinika Urologii ¦AM w Katowicach
Kierownik kliniki: prof. nadzw. ¦AM dr hab. Andrzej Prajsner

keywords

upper urinary tract, upper urinary tract cancer, ureteronephrectomy

summary

introduction
The ureteronephrectomy with bladder cuff excision is still regarded as a method of choice in the treatment of upper urinary tract cancer. The aim of this study was to compare two methods of ureteronephrectomy; conventional open surgery and combination of the surgical technique with transurethral circumcision and excision of the ureteral orifice and intramural ureter.
materials and methods
In the years 1999-2002 eight patients with TCC of upper urinary tract were treated conventionally and 7 were operated through combination technique. During the follow-up from 12 to 48 month ultrasound examinations, cystoscopy, cytological evaluations and CT were done.
results
Combined method was faster (mean 81,1; ±13,5 min.) then conventional surgery (mean 132,6 ±47,7 min, p=0,0001). The average length of postoperative stay was 8,8 ±0,8 days and 11,7 ±2,6 (p=0,01) respectively. Follow-up time for open surgery was 35,1 ±10,2 months, in comparison to 26,3 ±9,4 in combined method (p=0,12). There was one recurrence 6 months after combined method and also one 12 months after conventional surgery.
conclusions
Ureteronephrectmy performed through transurethral resection of the intramural ureter as first step in the removal of the kidney and the whole ureter through a single incision is simple, safe, fast and easy to perform method of treatment. It shortens hospitalization time and achieves good results.

references

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correspondence

Wojciech Pawłowski
Wojewódzki Szpital Specjalistyczny
pl Medyków 1
41-200 Sosnowiec
tel: (O... 32)36 82 514
w.pawlowski@wp.pl