[Endoscopic removal of the ureter prior to nephroureterectomy. Preliminary analysis].

AIM OF THE STUDY

To describe a simplified technique for nephroureterectomy based on a prior endoscopic disconnection of the ureter or transurethral circumcision of the ureteral orifice.

PATIENTS AND METHODS

From November 1993 to December 1997 we treated 16 patients diagnosed with cancer of the renal pelvis of proximal ureter, using this technique. Mean age was 68.8, 15 males and 1 female.

RESULTS

There was no operative or postoperative complications. Mean follow up was 17 months and the mean hospital stay was 7.2 days.

CONCLUSIONS

We believe that this is an easy technique to learn, that significantly cut down the operating time, reduce postoperative complications and it is adequate for upper tract urothelial cancer treatment.