Ureteral fibroepithelial polyp: A diagnostic challenge

Raj A Kumar; Michael Maidaa; Jon Frankel; Vincent Bird; Udaya Kumar

doi:10.1016/j.eucr.2021.101940

Ureteral fibroepithelial polyp: A diagnostic challenge

Urol Case Rep. 2021 Nov 9:40:101940. doi: 10.1016/j.eucr.2021.101940. eCollection 2022 Jan.

Authors

Raj A Kumar¹, Michael Maidaa², Jon Frankel³, Vincent Bird², Udaya Kumar³

Affiliations

¹ Catherine & Joseph Aresty Department of Urology, Keck Medicine of USC, University of Southern California, Los Angeles, CA, USA.
² Department of Urology, University of Florida College of Medicine, University of Florida, Gainesville, FL, USA.
³ Citrus Memorial Hospital, Inverness, FL, USA.

Abstract

Ureteral fibroepithelial polyps (UFP) are relatively rare, benign tumors. A total of 236 total cases were documented between 1932 and 2013. Notably, imaging studies, including computerized tomography (CT) and magnetic resonance imaging (MRI) are often negative. This report details a case of a patient with a UFP who presented with hematuria. CT suggested a possible 1.8 cm mass, but subsequent MRI was negative. Cystoscopy showed a polyp that prolapsed out of the left ureter and into the bladder with peristalsis. The patient subsequently underwent retrograde ureteroscopy and holmium laser excision of the polyp.

Keywords: Hematuria; Ureteral fibroepithelial polyp; Ureteroscopy.

Publication types

Case Reports