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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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| Published in: | IJU case reports 2022-05, Vol.5 (3), p.183-185 |
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| creator | Fukui, Shinji Yoshida, Takashi Nakao, Kazuyoshi Matsuzaki, Tomoaki Kinoshita, Hidefumi |
| description | 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. |
| doi_str_mv | 10.1002/iju5.12432 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_doaj_</sourceid><recordid>TN_cdi_doaj_primary_oai_doaj_org_article_c7c72773a6a84f60bc5f65191e63b9b0</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><doaj_id>oai_doaj_org_article_c7c72773a6a84f60bc5f65191e63b9b0</doaj_id><sourcerecordid>2657992352</sourcerecordid><originalsourceid>FETCH-LOGICAL-c6382-e8f55c18a8aedd85302d1745675cd386f00d9797812fbb253425d8842d8dab793</originalsourceid><addsrcrecordid>eNp9kUtrFTEYhgdRbKnd-AMk4E44NZfJJLMRSqn1SMGFFnQVMsk35-SQMxlzUQ7-edNOLe3GVW4Pz5eXt2leE3xGMKbv3a7wM0JbRp81x5QLsSKCfH_-aH_UnKa0wxXGhHUtfdkcMc5xL2R73Pz5WoyBlMbiEUw2JBNmZ1COoPMepoxKctMG5W3xruzRj_Mr5HWCiMYQ0b747GYPqETIELVHoxtigNnlLXhXz3PwhzkhNyGNZrBO51jts86uul81L0btE5zeryfNzcfLbxefVtdfrtYX59cr0zFJVyBHzg2RWmqwVnKGqSWi5Z3gxjLZjRjbXtQ4hI7DQDlrKbdSttRKqwfRs5NmvXht0Ds1R7fX8aCCduruIsSN0jE740EZYQQVgulOy3bs8GD42HHSE-jY0A-4uj4srrkMe7Cmxqi5n0ifvkxuqzbhl-px7YOJKnh7L4jhZ4GU1S6UONX8inZc9D1lnFbq3UKZGFKKMD5MIFjd9q5ue1d3vVf4zeM_PaD_Wq4AWYDfzsPhPyq1_nzDF-lfvjy6Rg</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2657992352</pqid></control><display><type>article</type><title>Successful endoscopic treatment using thulium YAG laser for multiple ureteral fibroepithelial polyps in a pediatric patient</title><source>Wiley-Blackwell Open Access Collection</source><source>Open Access: PubMed Central</source><source>Publicly Available Content Database</source><creator>Fukui, Shinji ; Yoshida, Takashi ; Nakao, Kazuyoshi ; Matsuzaki, Tomoaki ; Kinoshita, Hidefumi</creator><creatorcontrib>Fukui, Shinji ; Yoshida, Takashi ; Nakao, Kazuyoshi ; Matsuzaki, Tomoaki ; Kinoshita, Hidefumi</creatorcontrib><description>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.</description><identifier>ISSN: 2577-171X</identifier><identifier>EISSN: 2577-171X</identifier><identifier>DOI: 10.1002/iju5.12432</identifier><identifier>PMID: 35509784</identifier><language>eng</language><publisher>Australia: John Wiley & Sons, Inc</publisher><subject>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</subject><ispartof>IJU case reports, 2022-05, Vol.5 (3), p.183-185</ispartof><rights>2022 The Authors. published by John Wiley & Sons Australia, Ltd on behalf of Japanese Urological Association.</rights><rights>2022 The Authors. IJU Case Reports published by John Wiley & Sons Australia, Ltd on behalf of Japanese Urological Association.</rights><rights>2022. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c6382-e8f55c18a8aedd85302d1745675cd386f00d9797812fbb253425d8842d8dab793</citedby><cites>FETCH-LOGICAL-c6382-e8f55c18a8aedd85302d1745675cd386f00d9797812fbb253425d8842d8dab793</cites><orcidid>0000-0002-1920-6303</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2657992352/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2657992352?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,11562,25753,27924,27925,37012,44590,46052,46476,53791,53793,75126</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35509784$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fukui, Shinji</creatorcontrib><creatorcontrib>Yoshida, Takashi</creatorcontrib><creatorcontrib>Nakao, Kazuyoshi</creatorcontrib><creatorcontrib>Matsuzaki, Tomoaki</creatorcontrib><creatorcontrib>Kinoshita, Hidefumi</creatorcontrib><title>Successful endoscopic treatment using thulium YAG laser for multiple ureteral fibroepithelial polyps in a pediatric patient</title><title>IJU case reports</title><addtitle>IJU Case Rep</addtitle><description>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.</description><subject>Ablation</subject><subject>Aluminum</subject><subject>Case Report</subject><subject>Case Reports</subject><subject>endoscopic management</subject><subject>Endoscopy</subject><subject>General anesthesia</subject><subject>Hydronephrosis</subject><subject>Informed consent</subject><subject>Laparoscopy</subject><subject>Lasers</subject><subject>multiple fibroepithelial polyps</subject><subject>Patients</subject><subject>pediatric</subject><subject>Pediatrics</subject><subject>Polyps</subject><subject>Surgery</subject><subject>thulium:YAG laser</subject><subject>Tomography</subject><subject>Ultrasonic imaging</subject><issn>2577-171X</issn><issn>2577-171X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNp9kUtrFTEYhgdRbKnd-AMk4E44NZfJJLMRSqn1SMGFFnQVMsk35-SQMxlzUQ7-edNOLe3GVW4Pz5eXt2leE3xGMKbv3a7wM0JbRp81x5QLsSKCfH_-aH_UnKa0wxXGhHUtfdkcMc5xL2R73Pz5WoyBlMbiEUw2JBNmZ1COoPMepoxKctMG5W3xruzRj_Mr5HWCiMYQ0b747GYPqETIELVHoxtigNnlLXhXz3PwhzkhNyGNZrBO51jts86uul81L0btE5zeryfNzcfLbxefVtdfrtYX59cr0zFJVyBHzg2RWmqwVnKGqSWi5Z3gxjLZjRjbXtQ4hI7DQDlrKbdSttRKqwfRs5NmvXht0Ds1R7fX8aCCduruIsSN0jE740EZYQQVgulOy3bs8GD42HHSE-jY0A-4uj4srrkMe7Cmxqi5n0ifvkxuqzbhl-px7YOJKnh7L4jhZ4GU1S6UONX8inZc9D1lnFbq3UKZGFKKMD5MIFjd9q5ue1d3vVf4zeM_PaD_Wq4AWYDfzsPhPyq1_nzDF-lfvjy6Rg</recordid><startdate>202205</startdate><enddate>202205</enddate><creator>Fukui, Shinji</creator><creator>Yoshida, Takashi</creator><creator>Nakao, Kazuyoshi</creator><creator>Matsuzaki, Tomoaki</creator><creator>Kinoshita, Hidefumi</creator><general>John Wiley & Sons, Inc</general><general>John Wiley and Sons Inc</general><general>Wiley</general><scope>24P</scope><scope>WIN</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0002-1920-6303</orcidid></search><sort><creationdate>202205</creationdate><title>Successful endoscopic treatment using thulium YAG laser for multiple ureteral fibroepithelial polyps in a pediatric patient</title><author>Fukui, Shinji ; Yoshida, Takashi ; Nakao, Kazuyoshi ; Matsuzaki, Tomoaki ; Kinoshita, Hidefumi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c6382-e8f55c18a8aedd85302d1745675cd386f00d9797812fbb253425d8842d8dab793</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Ablation</topic><topic>Aluminum</topic><topic>Case Report</topic><topic>Case Reports</topic><topic>endoscopic management</topic><topic>Endoscopy</topic><topic>General anesthesia</topic><topic>Hydronephrosis</topic><topic>Informed consent</topic><topic>Laparoscopy</topic><topic>Lasers</topic><topic>multiple fibroepithelial polyps</topic><topic>Patients</topic><topic>pediatric</topic><topic>Pediatrics</topic><topic>Polyps</topic><topic>Surgery</topic><topic>thulium:YAG laser</topic><topic>Tomography</topic><topic>Ultrasonic imaging</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fukui, Shinji</creatorcontrib><creatorcontrib>Yoshida, Takashi</creatorcontrib><creatorcontrib>Nakao, Kazuyoshi</creatorcontrib><creatorcontrib>Matsuzaki, Tomoaki</creatorcontrib><creatorcontrib>Kinoshita, Hidefumi</creatorcontrib><collection>Wiley-Blackwell Open Access Collection</collection><collection>Wiley Open Access</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>ProQuest Health and Medical</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Nursing & Allied Health Premium</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>IJU case reports</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fukui, Shinji</au><au>Yoshida, Takashi</au><au>Nakao, Kazuyoshi</au><au>Matsuzaki, Tomoaki</au><au>Kinoshita, Hidefumi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Successful endoscopic treatment using thulium YAG laser for multiple ureteral fibroepithelial polyps in a pediatric patient</atitle><jtitle>IJU case reports</jtitle><addtitle>IJU Case Rep</addtitle><date>2022-05</date><risdate>2022</risdate><volume>5</volume><issue>3</issue><spage>183</spage><epage>185</epage><pages>183-185</pages><issn>2577-171X</issn><eissn>2577-171X</eissn><abstract>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.</abstract><cop>Australia</cop><pub>John Wiley & Sons, Inc</pub><pmid>35509784</pmid><doi>10.1002/iju5.12432</doi><tpages>3</tpages><orcidid>https://orcid.org/0000-0002-1920-6303</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | IJU case reports, 2022-05, Vol.5 (3), p.183-185 |
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| source | Wiley-Blackwell Open Access Collection; Open Access: PubMed Central; Publicly Available Content Database |
| 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 |
| title | Successful endoscopic treatment using thulium YAG laser for multiple ureteral fibroepithelial polyps in a pediatric patient |
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