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• W1972028181 abstract "You have accessJournal of UrologyBladder Cancer: Superficial (II)1 Apr 20131789 FOLLOWUP AFTER A CONSERVATIVE APPROACH OF LOW GRADE UPPER URINARY TRACT TOMOURS: CHANGING THE PATTERNS Juan Palou, Marco Cosentino, Giuseppe Lucarelli, Oscar Rodríguez Faba, Josep Maria Gaya, Pablo De la Torre, Jordi Martí, Alberto Breda, Lluís Gausa, and Humberto Villavicencio Juan PalouJuan Palou Barcelona, Spain More articles by this author , Marco CosentinoMarco Cosentino Barcelona, Spain More articles by this author , Giuseppe LucarelliGiuseppe Lucarelli Barcelona, Spain More articles by this author , Oscar Rodríguez FabaOscar Rodríguez Faba Barcelona, Spain More articles by this author , Josep Maria GayaJosep Maria Gaya Barcelona, Spain More articles by this author , Pablo De la TorrePablo De la Torre Barcelona, Spain More articles by this author , Jordi MartíJordi Martí Barcelona, Spain More articles by this author , Alberto BredaAlberto Breda Barcelona, Spain More articles by this author , Lluís GausaLluís Gausa Barcelona, Spain More articles by this author , and Humberto VillavicencioHumberto Villavicencio Barcelona, Spain More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2013.02.3232AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES There are not well-established follow-up strategies after the endourological management of upper urinary tract tumours (UUTT). The radiological study of the upper tract is a useful tool in the diagnosis of UUTT. Ureterorenoscopy (UR) detects more accurately the presence of a tumour and it is the established method of followup. Flexible instruments facilitate the surveillance of the upper tract. We evaluate the results of a less invasive followup schedule after the treatment of low grade UUTT treated conservatively. METHODS This is a retrospective study of 36 patients who underwent a UR or percutaneous approach because of low grade (G 1-2) UUTT, 18 as first tumour of the upper tract (Group 1) and 18 after treatment of another ipsilateral or contralateral upper tract tumour (Group 2). 86 % had previous history of bladder cancer. Mean age of 64 years. The strategy of followup was urine cytology, cystoscopy and intravenous (IVP) at 3, 6 and 12 months, then every 6 months for the first 5 years. RESULTS There was a 33.3 % recurrence in both groups. The mean followup of each group was 76 and 94 months. In group 1 the mean time to recurrence was 23.5 months and in group 2, 41 months. There was one high grade recurrence in each group and two developped invasive tumours in group 2. Finally, 6 of the 12 recurences were treated with radical surgery, with a global preservation kidney rate of 83.3 %. Of the patients who recurred (n=12), only one died of the disease (2.7 %). CONCLUSIONS Endourological management of low grade tumours of the upper tract is feasible and with good oncological and functional results. There is no need to perform followup UR unless there is a positive cytology or suspicious or clear tumoral image on IVP. Therefore, when cytologies and/or IVP are negative, patients can be managed expectantly and thus, avoid unnecesary UR. © 2013 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 189Issue 4SApril 2013Page: e735 Advertisement Copyright & Permissions© 2013 by American Urological Association Education and Research, Inc.MetricsAuthor Information Juan Palou Barcelona, Spain More articles by this author Marco Cosentino Barcelona, Spain More articles by this author Giuseppe Lucarelli Barcelona, Spain More articles by this author Oscar Rodríguez Faba Barcelona, Spain More articles by this author Josep Maria Gaya Barcelona, Spain More articles by this author Pablo De la Torre Barcelona, Spain More articles by this author Jordi Martí Barcelona, Spain More articles by this author Alberto Breda Barcelona, Spain More articles by this author Lluís Gausa Barcelona, Spain More articles by this author Humberto Villavicencio Barcelona, Spain More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ..." @default.
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• W1972028181 title "1789 FOLLOWUP AFTER A CONSERVATIVE APPROACH OF LOW GRADE UPPER URINARY TRACT TOMOURS: CHANGING THE PATTERNS" @default.
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