Simultaneous Perineal Urethrectomy and Robotic Radical Cystectomy with Extended Pelvic Lymph Node Dissection and Intracorporeal Ileal Conduit

Videourology ◽  
2020 ◽  
Vol 34 (3) ◽  
Author(s):  
Stefan Jeglinschi ◽  
Imad Bentellis ◽  
Mathieu Carlier ◽  
Louis Denimal ◽  
Brannwel Tibi ◽  
...  
2021 ◽  
Vol 59 (242) ◽  
pp. 933-935
Author(s):  
Anil Kumar Sah ◽  
Bipin Maharjan ◽  
Mahesh Bahadur Adhikari ◽  
Reena Rana ◽  
Sunila Basnet ◽  
...  

Herniation of bladder mucosa through the bladder wall muscle layer is known as bladder diverticulum. The incidence of bladder diverticulum is 1.7. About 0.8 to 10% of the urinary bladder diverticulum develops carcinoma. Transitional cell carcinoma is the most common. Painless hematuria is the most common clinical presentation. Different imaging modalities along with cystoscopy are the key to accurate diagnosis and staging. High grade multifocal urothelial carcinoma in the bladder diverticulum is better managed by radical cystectomy and standard pelvic lymph node dissection with an ileal conduit. Here we report a case of a 66-year old gentleman of high grade multifocal urothelial carcinoma in bladder diverticulum managed with radical cystectomy and standard pelvic lymph node dissection with an ileal conduit. Such cases have been addressed adequately in the literature, but we did not find such cases from our country.


2010 ◽  
Vol 24 (9) ◽  
pp. 1435-1440 ◽  
Author(s):  
Sung Gu Kang ◽  
Seok Ho Kang ◽  
Young Goo Lee ◽  
Koon Ho Rha ◽  
Byong Chang Jeong ◽  
...  

2013 ◽  
Vol 7 (9-10) ◽  
pp. 605 ◽  
Author(s):  
Ali Fuat Atmaca ◽  
Abdullah Erdem Canda ◽  
Mehmet Gumus ◽  
Murat Canyigit ◽  
Erem Asil ◽  
...  

We report a very unusual complication of uretero-iliac artery fistula that developed following robotic radical cystectomy (RARC), bilateral extended pelvic lymph node dissection and intracorporeal Studer pouch reconstruction. Our patient was a 54-year-old male who was admitted 1 month after undergoing robotic surgery due to intermittently occurring massive transurethral bleeding necessitating blood transfusion that stopped by itself. Angiography showed a right external iliacartery pseudo-aneurysm and a fistula tract between the pseudo-aneurysm and Wallace type ureteral anostomosis that was successfully treated by an angiographic endovascular stent insertion at this level. Uretero-iliac artery fistula might occur following RARC, bilateral extended pelvic lymph node dissection and intracorporeal Studer pouch reconstruction leading to intermittently massive transurethral bleeding. Angiography and stenting are important for diagnosis and successful treatment of this rare entity.


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