Abercrombie G F, Eardley I, Payne S R, Walmsley B H, Vinnicombe J
Department of Urology, St Mary's Hospital, Portsmouth.
Br J Urol. 1988 Mar;61(3):198-200. doi: 10.1111/j.1464-410x.1988.tb06377.x.
Nephro-ureterectomy is the standard treatment for transitional carcinoma of the renal pelvis and caliceal system. In recent years a modification of the conventional two-incision technique has been described in which the intramural ureter is resected endoscopically and the remaining ureter is removed in continuity with the kidney through a single loin incision. Twenty-one patients had their renal pelvic tumours treated by this modified technique between 1970 and 1983. Of 16 patients available for analysis, 37.5% subsequently developed bladder tumours. It was concluded that this modified technique has no greater incidence of subsequent bladder tumour development than the conventional technique of nephro-ureterectomy, whilst giving considerable benefit to the patient.
