Procedures for Upper Tract Urothelial Cancer (UTUC)

Diagnostic Ureteroscopy

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A same-day, endoscopic (no incision) procedure to inspect the inner lining of the ureters and kidneys in patients with a known history of or suspicion for upper tract urothelial cancer (UTUC). A small camera (called a "ureteroscope") is inserted into the urinary tract through the urethra. This procedure can be performed in the office with local anesthesia or minimal sedation, or under general anesthesia in an operating room. Biopsies of suspicious lesions can also be performed during this procedure.

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Ureteroscopy with laser ablation of tumor

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Under general anesthesia, a very small camera (called a "ureteroscope") is inserted into the ureter and kidney through natural orifices. A medical laser is used to remove the tumor. This is almost always performed as a same-day, outpatient procedure. 

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Percutaneous resection of tumor

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Under general anesthesia, a small (1 cm) skin incision is made on the back and X-ray or ultrasound is used to insert a needle into the center of the affected kidney. Through the needle tract, a small tube is inserted, through which the surgeon inserts a special camera ("nephroscope") into the kidney. A medical laser or other device is then used to remove the tumor. This procedure is reserved for larger tumors in patients who are not candidates for more invasive surgeries, such as kidney removal. Patients typically spend one night in the hospital though some can home the same day.