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Ureteropyeloscopic Treatment of Upper Urinary Tract Urothelial Malignancy

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Upper Urinary Tract Urothelial Carcinoma

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Abstract

The treatment of upper urinary tract urothelial malignancy has paralleled similar therapies in the lower urinary tract. The majority of bladder tumors that are superficial, non-invasive, and low grade in histology are treated endoscopically, not with extirpative surgery. Prohibitive factors historically with regard to treating upper tract lesions endoscopically have been the large size and poor directability of the original ureteroscopes and the limited efficacy and availability of energy sources to treat these lesions. This has evolved as endoscopic instrumentation has improved. Endoscope miniaturization with improved mechanics have allowed for complete inspection of the entire upper urinary tract, and the application of various wavelengths of laser light energy employed to both coagulate and resect upper tract urothelial tumors have remarkably changed how these lesions are treated.

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Author information

Authors and Affiliations

  1. Department of Urology, New York Medical College, Valhalla, New York, USA

    Michael Grasso III MD

  2. Department of Urology, Lenox Hill Hospital, 100 E 77 Street, 4 East, New York, NY, 10075, USA

    Bobby S. Alexander MD

  3. Department of Urology, Lenox Hill Hospital, New York, NY, 10075, USA

    Lynn J. Paik DO

  4. Department of Urology, New York Medical College, Valhalla, NY, 10595, USA

    Andrew I. Fishman MD

Authors
  1. Michael Grasso III MD
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  2. Bobby S. Alexander MD
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  3. Lynn J. Paik DO
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  4. Andrew I. Fishman MD
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Corresponding author

Correspondence to Michael Grasso III MD .

Editor information

Editors and Affiliations

  1. Lenox Hill Hospital, Department of Urology, New York Medical College, Valhala, New York, New York, New York, USA

    Michael Grasso III

  2. Department of Urology, Thomas Jefferson University, Philadelphia, Pennsylvania, USA

    Demetrius H. Bagley

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Grasso, M., Alexander, B.S., Paik, L.J., Fishman, A.I. (2015). Ureteropyeloscopic Treatment of Upper Urinary Tract Urothelial Malignancy. In: Grasso III, M., Bagley, D. (eds) Upper Urinary Tract Urothelial Carcinoma. Springer, Cham. https://doi.org/10.1007/978-3-319-13869-5_4

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  • DOI: https://doi.org/10.1007/978-3-319-13869-5_4

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-13868-8

  • Online ISBN: 978-3-319-13869-5

  • eBook Packages: MedicineMedicine (R0)

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