What are the contraindications to surgery for urothelial tumors of the renal pelvis and ureters?

Updated: Aug 07, 2020
  • Author: Kyle A Richards, MD, FACS; Chief Editor: Bradley Fields Schwartz, DO, FACS  more...
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Answer

Relative contraindications that must be addressed prior to surgical treatment include the following:

  • Active infection
  • Uncorrected bleeding disorders
  • Renal insufficiency
  • Severe comorbidities
  • Advanced age

Surgical treatment is generally not warranted in patients with advanced metastatic disease. Instead, medical management (ie, chemotherapy) should be instituted.


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