Successful endoscopic treatment using thulium YAG laser for multiple ureteral fibroepithelial polyps in a pediatric patient

Introduction Ureteral fibroepithelial polyps are extremely rare and cause ureteropelvic junction obstruction in the pediatric population. Recent advancements in endoscopic treatment, such as holmium:yttrium–aluminum–garnet laser, have created more options for practitioners to treat multiple ureteral...

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Bibliographic Details
Published in:IJU case reports 2022-05, Vol.5 (3), p.183-185
Main Authors: Fukui, Shinji, Yoshida, Takashi, Nakao, Kazuyoshi, Matsuzaki, Tomoaki, Kinoshita, Hidefumi
Format: Article
Language:English
Subjects:
Ablation
Aluminum
Case Report
Case Reports
endoscopic management
Endoscopy
General anesthesia
Hydronephrosis
Informed consent
Laparoscopy
Lasers
multiple fibroepithelial polyps
Patients
pediatric
Pediatrics
Polyps
Surgery
thulium:YAG laser
Tomography
Ultrasonic imaging
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Summary:Introduction Ureteral fibroepithelial polyps are extremely rare and cause ureteropelvic junction obstruction in the pediatric population. Recent advancements in endoscopic treatment, such as holmium:yttrium–aluminum–garnet laser, have created more options for practitioners to treat multiple ureteral fibroepithelial polyps cases. However, the use of holmium:yttrium–aluminum–garnet laser multilobulated ureteral fibroepithelial polyps may have technical difficulties. Case presentation An 11‐year‐old boy with intermittent right flank pain revealed multiple ureteral fibroepithelial polyps approximately 3 cm long at the right ureteropelvic junction. The ureteral fibroepithelial polyps were resected using flexible ureteroscopy using thulium:YAG laser. A second‐look ureteroscopy revealed no recurrence, residual polyps, or ureteral stricture. At 1‐year follow‐up, ultrasonography showed no hydronephrosis on the affected side. Conclusion Thulium:YAG laser provides clear visibility due to its high hemostatic and evaporation effects. To the best of our knowledge, this is the first pediatric case of multiple ureteral fibroepithelial polyps successfully treated with endoscopic resection using thulium:YAG laser, with a favorable clinical outcome.
ISSN:2577-171X
2577-171X
DOI:10.1002/iju5.12432