LAB TEST

Ureteral retrograde brush biopsy

Ureteral retrograde brush biopsy is a surgical procedure. During the surgery, your doctor (urologist) takes a small sample of tissue from the lining of the kidney or ureter. The ureter is the tube that connects a kidney to the bladder. The tissue is sent to a lab for testing.

How the Test is Performed

This procedure is done using: Regional ( spinal ) anesthesia General anesthesia You will not feel any pain. The test takes about 30 to 60 minutes. A cystoscope is first placed through the urethra into the bladder. A cystoscope is a tube with a camera on the end. Then a guide wire is inserted through the cystoscope…

How to Prepare for the Test

You may not be able to eat or drink anything for about 6 hours before the test. Your health care provider will tell you how to prepare.

How the Test will Feel

You may have some mild cramping or discomfort after the test is over. You may have a burning feeling the first few times you empty your bladder. You may also urinate more often or have some blood in your urine for a few days after the procedure. You may have discomfort from the stent that will continue to be in place…

Why the Test is Performed

This test is used to take a sample of tissue from the kidney or ureter. It is performed when an x-ray or other test has shown a suspicious area (lesion). This can also be done if there is blood or abnormal cells in the urine.

Normal Results

The tissue appears normal.

What Abnormal Results Mean

Abnormal results may show cancer cells ( carcinoma ). This test is often used to tell the difference between cancerous (malignant) and noncancerous ( benign ) lesions.

Risks

Risks for anesthesia and surgery in general are: Reactions to medicines Breathing problems Bleeding, blood clots Infection Another possible risk for this procedure is damage that creates a hole (perforation) in the ureter. This can cause scarring of the ureter and you may need another surgery to correct the problem.…

Considerations

This test should not be performed in people with a: Urinary tract infection Blockage at or below the biopsy site You may have abdominal pain or pain on your side ( flank ). A small amount of blood in the urine is normal the first few times you urinate after the procedure. Your urine may look faintly pink. Report very…

References

Kallidonis P, Liatsikos E. Urothelial tumors of the upper urinary tract and ureter. In: Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, eds. Campbell-Walsh-Wein Urology. 12th ed. Philadelphia, PA: Elsevier; 2021:chap 98. National Institute of Diabetes and Digestive and Kidney Diseases website. Cystoscopy &…

This is a summary. Read the full article at www.ucsfbenioffchildrens.org (reviewed 17/05/2024).

This page is general information and is not medical advice. It does not replace a registered doctor, and it is not a prescription or a recommendation to use any medicine or test. Prices are listed prices and may change. Always follow the advice of your doctor or pharmacist.