Urothelial carcinoma of the upper urinary tract

After obtaining histological assurance using a ureterorenoscopy, the preferred therapy is a radical nephroureterectomy. This can be done both as open and laparoscopically. Subsequent chemotherapy with gemzitabine and cisplatin should be used for lymph node metastases.
If preservation of the renal function is crucial for the patient (e.g. in the case of single people), organ-preserving methods will be considered. Examples which may be mentioned here are segmentary ureteral resection or ureterorenoscopic ablation by laser.