Endoscopic treatment of a ureteral inflammatory polyp in a 15-year-old
Warmblood gelding
Abstract
A 15-year-old Warmblood gelding was presented with macroscopic hematuria
and stranguria symptoms for two months. Cystoscopy revealed a
pedunculated cauliflower-like mass, flowing from the right ureteral
orifice into the bladder. Ureteroscopy showed a right dilated ureter
(2.3 mm). The ureteral lumen mucosa was smooth and the mass had its
origin approximately 10 cm cranial from the orifice. The right kidney
was macroscopically on ultrasound within normal range. The mass was
removed transendoscopically by means of a cautery snare leaving a small
part at the base. Histopathological analysis identified it as a mucosal
polyp. Recovery was uncomplicated and the gelding was discharged three
days after surgery. A follow up 5 months later showed no signs of
inflammation and the remaining small stalk in the right ureter.