scholarly journals Adenocarcinoma in Orthotopic Neobladder 19 Years After Radical Cystoprostatectomy

2021 ◽  
Vol 31 (5) ◽  
pp. 588-590
Urology ◽  
2011 ◽  
Vol 78 (3) ◽  
pp. S80
Author(s):  
E. Amini ◽  
M. Asgari ◽  
M. Safarinejad ◽  
N. Shakhssalim ◽  
M. Soleimani ◽  
...  

2019 ◽  
Vol 86 (4) ◽  
pp. 216-219 ◽  
Author(s):  
Alessandro Tafuri ◽  
Antonio B Porcaro ◽  
Akbar N Ashrafi ◽  
Maria Angela Cerruto ◽  
Nelia Amigoni ◽  
...  

Introduction: Neobladder urolithiasis is a rare but important long-term complication of orthotopic urinary diversion. It may be asymptomatic and can be discovered as an incidental finding on a radiological investigation. However, when symptoms occur, they may include lower abdominal pain, dysuria, hematuria, and lower urinary tract symptoms. Case description: We report the case of a 63-year-old male patient with irritative lower urinary tract symptoms, lower abdominal fullness, urinary incontinence, fecaluria, and urinary loss from the left inguinal fold 12 years after a radical cystoprostatectomy with a orthotopic neobladder. Computed tomography scan and urethrocystography showed a distended pouch with multiple large stones, an enterovesical fistula, and neovesicocutaneous fistula. The fistulae were successfully managed conservatively with the placement of a Foley catheter. After 3 months, open cystolithotomy was performed and approximately 50 stones with dimensions varying from 5 mm to 5 cm, with a total weight of 890 g, were removed. After a 1-year follow-up, the patient did not report pain, urinary tract infections, or symptoms suggestive of fistula and imaging evaluation confirmed no recurrence of neobladder stones. Conclusion: Neobladder stones may present with various symptoms. Our patient had irritative lower urinary tract symptoms, lower abdominal fullness, urinary incontinence, fecaluria, and urinary loss from the left inguinal fold 12 years after a radical cystoprostatectomy with a orthotopic neobladder. Our experience demonstrates that open cystolithotomy is an effective intervention for the removal of large stones in neobladder.


2013 ◽  
Vol 90 (3) ◽  
pp. 348-353 ◽  
Author(s):  
Yigit Akin ◽  
Orcun Celik ◽  
Mutlu Ates ◽  
Baris Nuhoglu ◽  
Tibet Erdogru

2020 ◽  
Vol 8 ◽  
pp. 2050313X2092761
Author(s):  
Masaki Murata ◽  
Go Hasegawa ◽  
Kohei Inui ◽  
Yohei Ikeda ◽  
Moto Hasegawa ◽  
...  

A 67-year-old man was diagnosed with non-muscle invasive bladder cancer and underwent transurethral resection of the lesions in August 2017. The pathological findings revealed high-grade urothelial carcinoma. The tumor relapsed as urothelial carcinoma with sarcomatoid/osteosarcoma variant with vascular invasion, and transurethral resection was performed in December 2017. He underwent laparoscopic radical cystoprostatectomy and orthotopic neobladder reconstruction using ileum in March 2018. The patient developed lung metastasis in July 2018. He underwent four courses of chemotherapy with doxorubicin and thoracoscopic left lower lobectomy of the lung in October 2018.


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