Radical Nephroureterectomy: A Clinical Image

Clinical Image

Austin J Urol. 2021; 7(2): 1069.

Radical Nephroureterectomy: A Clinical Image

Mohammed M*, Dieudonné ZOJ*, Jaafar M, Soufiane E, Youness R, Mustapha A, Soufiane M, Fadl TM, El-Ammari JE, Jamal EM and Hassan FM

Urology Division, Teaching Hospital Hassan 2, Fez, Morocco

*Corresponding author: Mzyiene Mohammed, Urology Division, CHU Hassan 2, Fez, Morocco

Ziba Ouima Justin Dieudonné, Urology Division, CHU Hassan 2, Fez, Morocco

Received: June 26, 2021; Accepted: July 15, 2021; Published: July 22, 2021

Keywords

Upper urinary tract urothelial carcinoma; Nephroureterectomy; Urothelial carcinoma; Prognostic factors

Clinical Image

Upper Urinary Tract Urothelial Carcinoma (UTUC) remain rare. Radical Nephroureterectomy (RNU) is the Gold standard for management of these tumours. We are reporting a clinical image of a 45-year-old patient admitted in emergency for left lumbar pain (nephritic colic). The checkups requested computed tomography scanner showed a nephromegaly and left hydronephrosis upstream of a suspicious parietal thickening of the lumbar ureter with cortical and functional repercussion, neighborhood infiltration, and atypical lateral-aortic ganglia. Left lower calicial lithiasis of stasis, pancreatic nodular lesion and the left adrenal gland. The patient was a candidate for an open Radical Left Nephroureterectomy (RNU) (Figure 1).

Figure 1: Radical Nephroureterectomy (RNU) picture U (Ureter) R (Renal).

    

    
    

    

    Figure 1: Radical Nephroureterectomy (RNU) picture U (Ureter) R (Renal).

There are prognostic factors of tumors of the upper urinary excretory tract, which are the patient’s status, the preoperative, the operation and the anatomopathology [1]. According to current literature data, the oncology outcomes of radical nephrouretrectomy by laparoscopic are lower than those of open RNU surgery [2].

References

  1. Elalouf V, Klap J, Delongchamps N-B, Conquy S, Sibony M, Saighi D, et al. Facteurs pronostiques des tumeurs de la voie excrétrice urinaire supérieure. Prog En Urol. 2013; 23: 1382-1388.
  2. Peyronnet B, Seisen T, Dominguez-Escrig J-L, Bruins HM, Yuan CY, Lam T, et al. Oncological Outcomes of Laparoscopic Nephroureterectomy versus Open Radical Nephroureterectomy for Upper Tract Urothelial Carcinoma: An European Association of Urology Guidelines Systematic Review. Eur Urol Focus. 2019; 5: 205-223.

Citation: Mohammed M, Dieudonné ZOJ, Jaafar M, Soufiane E, Youness R, Mustapha A, et al. Radical Nephroureterectomy: A Clinical Image. Austin J Urol. 2021; 7(2): 1069.