Management of Distal Ureter in Nephroureterectomy—Controversies

  • Nariman AhmadiEmail author
  • Inderbir Gill


Radical nephroureterctomy with excision of distal ureter and the bladder cuff has been advocated as the gold standard treatment for upper tract urothelial carcinomas. The addition of distal ureterectomy and bladder cuff excision, adds to the complexity as well as post-operative recovery. Consequently, development of novel technical approached or the necessity of performing distal ureterectomy has been the topic of discussion. This chapter will focus on some main controversies and the relevant literature available to date.


Upper tract urothelial carcinoma Radical nephroureterectomy Distal ureter Bladder cuff excision Recurrence 

Supplementary material (25.6 mb)
Video 19.1 Ureteroscopic resection using the Wolf rigid uretero-resectoscope (MP4 487420 kb)


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.University of Southern California, Institute of UrologyLos AngelesUSA

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