The Ureteral Stump after Nephroureterectomy

Abstract

Seventy cases of transitional cell carcinoma of the upper urinary tract were reviewed. When complete nephroureterectomy was not performed, transitional cell carcinoma developed in 30% of the remaining ureteral stumps. Single incision nephroureterectomy did not include the intramural ureter in 50% of the patients in which it was performed. When nephroureterectomy is selected as treatment for carcinoma of the renal pelvis or ureter a cuff of bladder, which includes the ureteral orifice, should be removed. A 2nd incision may be required for adequate exposure.