Urothelial tumors of the renal pelvis and ureter endourological management

Abstract

Standard management of upper tract transitional cell carcinoma (TCC) is a nephroureterectomy. However, there is a distinct subgroup of patients who would be rendered dialysis dependent, or at high risk for functionally significant renal insufficiency, for which a nephron-sparing approach is warranted. With increasing experience, such renal conservative surgery is also being applied to patients with documented low-grade, low-stage disease, even in the setting of a normal, or nearly normal, contralateral kidney. © 2006 Humana Press Inc.