Endoscopic treatment for upper urinary tract urothelial carcinoma: Indication and outcome

Keiichiro Kawauchi, Shinya Uehara, Koichiro Wada, Yasuyuki Kobayashi, Katsumi Sasaki, Motoo Araki, Toyohiko Watanabe, Takashi Saika, Yasutomo Nasu, Hiromi Kumon, Koichi Monden, Noriaki Ono, Masaya Tsugawa


1 被引用数 (Scopus)


Nephroureterectomy has been considered the "gold standard" of treatment for upper urinary tract urothelial carcinoma (UUT-UC). However, endoscopic treatment such as ureteroscopy, and percutaneous renal surgery has been generally accepted for patients requiring a nephron-sparing approach (i. e., solitary kidney or renal insufficiency) and for those with significant comorbidities precluding definitive surgery. With the development of flexible and durable ureteroscopes that have a smaller diameter, the rate of histological diagnosis has improved significantly. We herein review current reports and our own experience regarding the endoscopic management of UUT-UC. Endoscopic management is a safe and effective treatment alternative to nephroureterectomy in the management of UUT-UC. Survival outcomes are comparable, but renal preservation therapy offers the advantage of reduced morbidity, fewer complications, and the potential for a better quality of life. However, recurrence and disease progression are not uncommon and underscore the need for strict tumor surveillance.

ジャーナルNishinihon Journal of Urology
出版ステータスPublished - 11月 2012

ASJC Scopus subject areas

  • 泌尿器学


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