What are EAU recommendations for conservative treatment for UTUC bladder cancer?

Updated: Feb 23, 2021
  • Author: Kara N Babaian, MD, FACS; Chief Editor: Bradley Fields Schwartz, DO, FACS  more...
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Answer

Recommendations regarding conservative treatment include the following:

  • Flexible ureteroscopy is preferable to rigid ureteroscopy
  • A percutaneous approach remains an option in small, low-grade calyceal tumors unsuitable for ureteroscopic treatment
  • Ureteroureterostomy for noninvasive low-grade tumors of the proximal ureter or mid-ureter that cannot be removed completely by endoscopic means, and for high-grade or invasive tumors when renal-sparing surgery (RSS) for preservation of renal function is a goal
  • Complete distal ureterectomy and neocystostomy for noninvasive, low-grade tumors in the distal ureter that cannot be removed completely by endoscopic means and for high-grade, locally invasive tumors

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