ABSTRACT

We aimed to share our experience on the treatment variabilities of giant fibroepithelial polyps of the ureter in 2 patients in this article. Of the two patients first was a 53- year-old female patient with mild micturation problems. The polyp was a lesion protruted into the urinary bladder and detected incidentally. The second patient was a 36- year-old male patient with hematuria and right side pain. The polyp was found in the 1/3 distal portion of the ureter and caused ureterohydronephrosis. Both of the patients were performed endoscopic examination and biopsy. In the first patient transuretral resection was made with difficulty because of the hypermobility of the mass. But this difficulty was higher in the second patient because of the severe polypoid nature of the polyp. Surgical exploration was made, and excision of the 7×2 cm polyp and end to end anastomosis of the ureter were performed. The dilated distal segment of the ureter was excised, and insertion of a double-j stent was performed. Fibroepithelial polyps should always be kept in mind when a space-occupying mass is detected in the urinary system by visualization methods. The treatment model is variable but the endoscopic procedures should be the first step in the treatment approach.