scholarly journals Robotic Orthotopic Neobladder: The Two Chimney Technique

2021 ◽  
Author(s):  
Panagiotis Pardalidis ◽  
Nikolaos Andriopoulos ◽  
Nikolaos Pardalidis
Keyword(s):  
Minimally Invasive ◽  
Transitional Cell Carcinoma ◽  
Cell Carcinoma ◽  
Urinary Diversion ◽  
Standard Method ◽  
Transitional Cell ◽  
Orthotopic Neobladder ◽  
Voiding Function ◽  
Bladder Substitution ◽  
Ureteric Stricture

Bladder substitution following radical cystectomy for urothelial cancer (transitional cell carcinoma) has become increasingly common and in many centers has evolved to become the standard method of urinary diversion. Orthotopic neobladder has been a commonly used option for urinary diversion since the 1980s. Advantages of this type of diversion are the ability to avoid an ostomy, voiding function similar to the native bladder, and improved cosmesis. Robotic intracorporeal neobladder creation has demonstrated similar outcomes to open technique and represents a promising minimally invasive diversion for the future. The Studer pouch is widely used nowadays, yet there are still some drawbacks. Therefore, we designed a technique that would offer an orthotopic ureteroileal anastomosis by using a two chimney modification. This modification is simple to handle, safe and free of ureteric stricture or reflux. With low stricture rates, this modified procedure of ureterointestinal anastomosis, is worthy of further promotion.

Robot-Assisted Radical Cystectomy with Intracorporeal Urinary Diversion in Patients with Transitional Cell Carcinoma of the Bladder

2011 ◽  
Vol 60 (5) ◽  
pp. 1066-1073 ◽  
Author(s):  
Martin N. Jonsson ◽  
L. Christofer Adding ◽  
Abolfazl Hosseini ◽  
Martin C. Schumacher ◽  
Daniela Volz ◽  
...  
Keyword(s):  
Transitional Cell Carcinoma ◽  
Cell Carcinoma ◽  
Radical Cystectomy ◽  
Urinary Diversion ◽  
Transitional Cell ◽  
Robot Assisted ◽  
Carcinoma Of The Bladder ◽  
Intracorporeal Urinary Diversion

scholarly journals Ureteric stricture: an unusual presentation of metastatic prostate adenocarcinoma

2012 ◽  
Vol 94 (7) ◽  
pp. e6-e7 ◽  
Author(s):  
S Jallad ◽  
R Turo ◽  
M Kimuli ◽  
J Smith ◽  
S Jain
Keyword(s):  
Transitional Cell Carcinoma ◽  
Cell Carcinoma ◽  
Transitional Cell ◽  
Specific Antigen ◽  
Digital Rectal Examination ◽  
Metastatic Lesion ◽  
Prostate Adenocarcinoma ◽  
Prostatic Adenocarcinoma ◽  
Initial Examination ◽  
Ureteric Stricture

We describe an unusual case of a prostatic adenocarcinoma presenting with a ureteric stricture secondary to a discrete metastatic lesion. A 76-year-old man presented with a short history of right loin pain. Initial examination was unremarkable, digital rectal examination was normal and prostate specific antigen was within normal range. Computed tomography showed right hydronephrosis and a distal ureteric stricture. A distal ureteric transitional cell carcinoma was thought to be most likely. A nephroureterectomy was carried out and histology revealed a skipped lesion of a metastatic prostate adenocarcinoma. Metastatic lesions to the ureters due to prostate cancer are rare. It was believed to be secondary to a transitional cell carcinoma as there was no evidence initially to suggest prostatic disease as the cause. A prostatic adenocarcinoma should be considered in the differential diagnosis of any lesions in the ureter believed to have a malignant origin.

Radical Cystectomy for Transitional Cell Carcinoma with Orthotopic Neobladder in Renal Transplant Recipients: Surgical Procedure, Functional and Therapeutic Evaluation

2009 ◽  
Vol 76 (3) ◽  
pp. 207-212
Author(s):  
D. Zani ◽  
C. Simeone ◽  
N. Arrighi ◽  
L. Perucchini ◽  
A. Antonelli ◽  
...  
Keyword(s):  
Renal Transplant ◽  
Transitional Cell Carcinoma ◽  
Cell Carcinoma ◽  
Radical Cystectomy ◽  
Transitional Cell ◽  
Renal Transplant Recipients ◽  
Transplant Recipients ◽  
Orthotopic Neobladder ◽  
Urine Retention ◽  
Urinary Reconstruction

Introduction Transitional Cell Carcinoma (TCC) shows a high prevalence in renal tranplant recipients, nevertheless urinary reconstruction by way of orthotopic neobladder is rarely reported. Patients and Methods Two kidney transplant patients (1 man and 1 woman) affected by TCC underwent radical cystectomy and urinary reconstruction by neobladder according to the “Vescica Ileale Padovana” technique. Results and Discussion No patients claimed incontinence or urine retention. The spherical rebuilding assured an adequate bladder capacity and a low endovesical pressure. After 48 months one patient died because of disease progression. The first relapse was detected in ureter two years after cystectomy. The other patient is still alive after 40 months and in good health conditions. Conclusions This anecdotal report suggests that the “Vescica Ileale Padovana” technique could be useful in renal transplant recipients with TCC. A possible role of Rapamycin on our results cannot yet be excluded.

Perineal Urethrectomy for Transitional Urethral Tumours in Bladder Cancer Patients

1993 ◽  
Vol 60 (3) ◽  
pp. 279-282
Author(s):  
P. De Carli ◽  
M. Marcellini ◽  
H. Fattahi ◽  
G. Mainiero ◽  
B.M. Ciammarughi
Keyword(s):  
Bladder Cancer ◽  
Urinary Tract ◽  
Surgical Treatment ◽  
Transitional Cell Carcinoma ◽  
Cell Carcinoma ◽  
Cancer Patients ◽  
Transitional Cell ◽  
Urethral Carcinoma ◽  
Bladder Substitution

Transitional cell carcinoma is often multicentric in the urinary tract and urethral tumours are not infrequent in bladder cancer patients. The occurrence of urethral carcinoma is simultaneous or recurrent after radical cystectomy. The management of urethral neoplasms and results of 12 simultaneous and 10 post-cystectomy cases treated with perineal urethrectomy are reported. The Authors debate the role of primary and secondary surgical treatment and the perineal or prepubic technique. One case of urethral recurrence after orthotopic bladder substitution emphasizes that patients must be accurately evaluated to exclude urethral disease before cystoprostatectomy, and monitored for carcinoma of urethral remnant.

Sign in / Sign up

Export Citation Format

Share Document