Medical Care in China

Urothelial carcinoma of the ureter
Treatment in China

Provide a clear and complete coordinated pathway from expert assessment to treatment and rehabilitation.

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Comprehensive Coverage of Urinary DiseasesKidney, bladder, prostate, and urinary tract diseases can all be assessed.
Treatment of complex stonesSelect a minimally invasive treatment plan based on the characteristics of the stones.
Urinary tumor treatmentcovers tumors of the prostate, bladder, kidneys and urinary tract.
Precise medication therapySome prostate cancer patients can be evaluated for PSMA-related treatment.

Condition Guide

About Urothelial carcinoma of the ureter

Understand the condition, common triggers and treatment options that may require specialist assessment.

Disease Introduction

Urothelial carcinoma of the ureter refers to malignant tumors occurring in the mucosal epithelium of the renal pelvis or ureter (including renal pelvis cancer and ureteral cancer). The incidence rate in my country (approximately 17.9%) is significantly higher than in Europe and the United States. Early symptoms often include intermittent, painless gross hematuria, and about two-thirds of patients are diagnosed with muscular infiltration. Low-risk, localized cases can be treated with kidney-sparing therapy; high-risk patients undergo radical nephrectomy and ureterectomy; advanced/metastatic cases are treated with immunotherapy, ADC drugs, and comprehensive perioperative management.

Cutting-edge high-precision diagnostic and treatment technologies

  1. Minimally invasive radical nephrectomy: Radical nephroureterectomy (RNU, including resection of the distal ureter and bladder cuff) is the standard procedure for high-risk UTUC. The EAU 2025 guidelines clearly state that the oncological outcomes of open, laparoscopic and robot-assisted approaches are similar, with robot-assisted approaches being less invasive and allowing for faster recovery.
  2. Prioritize kidney preservation for low-risk cases : The EAU 2025 guidelines strongly recommend kidney preservation treatment (ureteroscopic endovascular ablation, distal ureterectomy and reimplantation) for low-risk UTUCs, with a second ureteroscopic follow-up within 8 weeks after the initial endovascular treatment;
  3. Neoadjuvant Immunotherapy Exploration : For high-risk UTUCs who are intolerant to cisplatin, the Phase II study of tislelizumab neoadjuvant therapy (Journal of Urology, 2025) provides a new preoperative immune down-phase pathway for patients who are not suitable for chemotherapy;
  4. Perioperative adjuvant chemotherapy : The POUT randomized controlled trial confirmed that adjuvant platinum-based gemcitabine chemotherapy after RNU significantly improved disease-free survival compared with observation alone, becoming an important standard for adjuvant treatment of locally advanced UTUC;
  5. Advanced immune therapy + ADC : Vidicetumab combined with toripalimab (RC48-C016) showed consistent efficacy in the bladder and upper urinary tract subgroups, and was listed as a first-line category 1A recommendation for metastatic upper urinary tract urothelial carcinoma in the 2026 CSCO guidelines.

Care Overview

Urothelial carcinoma of the ureter Treatment in China

The medical team will develop a personalized protocol based on the pathology type, stage, genetic test, previous treatment history, and the patient's physical condition.

Leading Specialists

Trusted Expertise Across Leading Specialties

Li Hang

Professor , specializing in diabetic nephropathy and hypertensive nephropathy

Urology

Research focus: Clinical diagnosis and treatment of primary and secondary kidney diseases, with a focus on diabetic nephropathy and hypertensive nephropathy. Cutting-edge technology: Primarily engaged in the clinical diagnosis and treatment of various primary and secondary kidney diseases, specializing in the treatment of refractory nephrotic syndrome, IgA nephropathy, membranous nephropathy, lupus nephritis, and other diseases. Diseases specializing in: refractory nephrotic syndrome, IgA nephropathy, mem

Peking Union Medical College Hospital, Chinese Academy of Medical Sciences logo Affiliated Hospital Peking Union Medical College Hospital, Chinese Academy of Medical Sciences
Song Bin

Former Director of Radiology Department, Professor/Doctoral Supervisor, President of the Asian Society of Abdominal Radiology

Urology

Research areas : Abdominal imaging diagnosis (liver, gallbladder, pancreas, spleen, gastrointestinal tract, portal venous system); early screening, diagnosis, and prognostic classification of liver cancer. Cutting-edge technologies: The "West China Solution" for early screening and diagnosis of liver cancer using imaging (a new standard for liver cancer diagnosis and a screening model for high-risk groups based on MR functional imaging); a new multimodal imaging prognostic classification for liver cancer;

West China Hospital of Sichuan University logo Affiliated Hospital West China Hospital of Sichuan University
Zhang Ling

Chief Physician, Associate Professor, Master's Supervisor, Deputy Director of Nephrology, and Head of the CRRT Subspecialty Group

Urology

-Research areas : complications of hemodialysis, acute kidney injury and critical blood purification technology; CRRT anticoagulation technology. - Cutting-edge technologies: individualized CRRT dosage for severe cases, early warning model for critical AKI, and the world's first local citrate anticoagulation technology with calcium-containing replacement fluid; comprehensive treatment for severe AKI. - Areas of expertise: ICU severe acute kidney injury, septic kidney injury, renal replacement therapy for

West China Hospital of Sichuan University logo Affiliated Hospital West China Hospital of Sichuan University
Chen Yumei

Associate Chief Physician, PhD, Deputy Director of the Department of Nuclear Medicine

Urology

-Research areas : Molecular imaging of tumors, PSMA PET assessment of prostate cancer; - Areas of expertise: Ga-PSMA PET/CT image analysis, lesion interpretation, and semi-quantitative assessment of PSMA expression; - Areas of expertise: Initial staging of prostate cancer, biochemical recurrence localization, and RLT efficacy evaluation; - Academic Highlights & Core Values: Backbone in molecular imaging for prostate cancer, involved in multicenter clinical studies related to PSMA, and optimized PSMA imagi

Renji Hospital Affiliated to Shanghai Jiao Tong University School of Medicine logo Affiliated Hospital Renji Hospital Affiliated to Shanghai Jiao Tong University School of Medicine
Zhang Weiming

Chief Physician, Master's Supervisor, Deputy Director of Nephrology, and Head of the Vascular Access Subspecialty Group.

Urology

Research areas : Hypertensive nephropathy, gouty nephropathy, urinary tract infections, and establishment and maintenance of hemodialysis access. Cutting-edge technologies: Over 5000 arteriovenous fistula surgeries have been performed, with a primary patency rate of 92% one year post-surgery; innovative ultrasound-guided balloon dilation has been used to treat fistula stenosis, avoiding secondary surgical trauma for patients; RAAS blockers combined with uric acid management have been applied to hypertensi

Renji Hospital Affiliated to Shanghai Jiao Tong University School of Medicine logo Affiliated Hospital Renji Hospital Affiliated to Shanghai Jiao Tong University School of Medicine
Ni Zhaohui

Chief Physician, Professor, Doctoral Supervisor, Chief Expert of Renji Hospital, Director of the Department of Internal Medicine, and Academic Leader of Nephrology.

Urology

Research Areas : Diagnosis and treatment of various primary and secondary complex and critical kidney diseases, especially lupus nephritis, diabetic nephropathy, IgA nephropathy, and acute and chronic renal failure. Cutting-Edge Technologies: Pioneered the implementation of a combined assessment model of renal pathology, clinical practice, and molecular subtyping in China, significantly improving the remission rate of IgA nephropathy and lupus nephritis; led the construction of the first home dialysis tra

Renji Hospital Affiliated to Shanghai Jiao Tong University School of Medicine logo Affiliated Hospital Renji Hospital Affiliated to Shanghai Jiao Tong University School of Medicine

Patient Stories

See the Next Step Through Patient Journeys

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Severe Stress Urinary Incontinence After Radical Prostatectomy - The Ultimate Weapon Against "Social Cancer"

RehabilitationUrology

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Complex vesicovaginal fistula - Restoring "leaked" dignity

UrologyObstetrics & Gynecology

Patient records Name: Nguyen Thi Lan Age: 45 Nationality: Vietnam (Ho Chi Minh City) Diagnosis: Complex vesicovaginal fistula (post-hysterectomy complication, fistula opening approximately 1.5cm, located near the trigone of the bladder) Treatment Hospital: Renji Hospital Affiliated to Shanghai Jiao Tong University School of Medicine—Department of Urology/Obstetrics and Gynecology In the video Ms. Lan sent, she was wearing a beautiful ao dai, smiling and posing for photos on the streets of Ho Chi Minh Cit

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PATIENT JOURNEY

Benign Prostatic Hyperplasia - Reshaping the "Valve" of Life

Urology

Patient records Name: Budi Santoso Age: 68 Nationality: Indonesia (Surabaya) Diagnosis: Benign prostatic hyperplasia (prostate volume approximately 120 ml, IPSS score 28, recurrent acute urinary retention) Treatment Hospital: Department of Urology, West China Hospital of Sichuan University Mr. Santoso, a retired captain from Surabaya, had spent his life battling the waves, displaying unwavering resilience. However, in his later years, he succumbed to an unseen "enemy"—his prostate. This small organ swell

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