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Solitary upper ureteral malakoplakia successfully diagnosed by ureteroscopic biopsy and treated conservatively
Author(s) -
Inoue Takamitsu,
Nishiyama Hiroyuki,
Yoshimura Koji,
Ito Noriyuki,
Kamoto Toshiyuki,
Habuchi Tomonori,
Ogawa Osamu
Publication year - 2007
Publication title -
international journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.172
H-Index - 67
eISSN - 1442-2042
pISSN - 0919-8172
DOI - 10.1111/j.1442-2042.2007.01825.x
Subject(s) - medicine , malakoplakia , biopsy , malacoplakia , ureteroscopy , urology , surgery , radiology , ureter , pathology
Malakoplakia of the urinary tract is a granulomatous inflammatory disease due to bacterial infection and can usually be treated conservatively, whereas all of the past reported patients with solitary ureteral malakoplakia underwent surgical excision. We report a patient with solitary isolated upper ureteral malakoplakia that was successfully diagnosed by ureteroscopic biopsy. After conservative treatment with levofloxacin, bethanechol chloride and ascorbic acid, her right hydronephrosis and the lesion were reduced for more than six months.