Overview
Fibroepithelial polyps are benign tumors that can occur in the urinary tract, particularly the upper tract, characterized by a combination of fibrous and epithelial tissue components 1.Diagnosis
Imaging studies (e.g., CT, MRI, ultrasound) are essential for initial detection and localization 1.
Endoscopic evaluation (e.g., ureteroscopy) aids in visualizing the polyp and assessing its characteristics 1.
Histopathological examination confirms the diagnosis by identifying the fibroepithelial nature of the lesion 1.Management
Conservative management is often preferred for benign fibroepithelial polyps, particularly when they are asymptomatic 1.
Endourological techniques, including endoscopic resection or fulguration, may be employed for symptomatic or obstructive polyps 1.
Surgical excision (e.g., nephroureterectomy) is reserved for cases with aggressive behavior or recurrence 1.Special Populations
No specific management guidelines provided for pregnancy, pediatrics, elderly, or patients with comorbidities in the given abstracts 1.Key Recommendations
Conservative management is suitable for asymptomatic fibroepithelial polyps of the upper urinary tract (Evidence: Expert opinion) 1.
Endourological approaches should be considered for symptomatic fibroepithelial polyps to ensure effective removal and minimize invasiveness (Evidence: Expert opinion) 1.
Histopathological confirmation is crucial for definitive diagnosis and guiding management decisions (Evidence: Expert opinion) 1.References
1 Salas M, Gelet A, Martin X, Sanseverino R, Maréchal JM, Dubernard JM. Endourological management of fibroepithelial polyps. European urology 1991. link