The contribution of endoscopy in the diagnosis of unilateral hematuria of renal origin and pseudotumors of the upper urinary tract

From 1985 to 1992, 9 patients (6 males, 3 females) with a mean age of 47 years, presenting with a clinical picture suggestive of a tumour of the upper urinary tract (haematuria and/or pelvic or caliceal radiolucent filling defect), underwent retrograde (6 cases) and/or percutaneous (9 cases) endosco...

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Bibliographic Details
Published inProgrès en urologie (Paris) Vol. 4; no. 2; p. 219
Main Authors Viguier, J L, Abbar, M, Gelet, A, Bouvier, R, Martin, X, Marechal, J M, Dubernard, J M
Format Journal Article
LanguageFrench
Published France 01.04.1994
Subjects
Adult
Aged
Choristoma - diagnosis
Diagnosis, Differential
Endoscopy - adverse effects
Female
Hemangioma - diagnosis
Hematuria - diagnosis
Hemorrhage - diagnosis
Humans
Hypertrophy
Kidney - pathology
Kidney Diseases - diagnosis
Kidney Medulla - pathology
Kidney Neoplasms - diagnosis
Kidney Papillary Necrosis - diagnosis
Male
Middle Aged
Ureter - pathology
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Summary:From 1985 to 1992, 9 patients (6 males, 3 females) with a mean age of 47 years, presenting with a clinical picture suggestive of a tumour of the upper urinary tract (haematuria and/or pelvic or caliceal radiolucent filling defect), underwent retrograde (6 cases) and/or percutaneous (9 cases) endoscopic exploration of the upper urinary tract. The percutaneous examination allowed a precise diagnosis and appropriate treatment adapted to the lesion detected (papillary necrosis: 2 cases; ectopic papilla: 2 cases; hypertrophy of Brunn's nests: 1 case; papillary angioma: 1 case; haemorrhagic papillitis: 3 cases) in every case. Endoscopic exploration of radiolucent lesions of the upper tract and unexplained renal haematuria is therefore justified whenever the diagnosis of upper tract tumour is uncertain on the basis of the radiological and cytological assessment.
ISSN:1166-7087