Upper urinary tract (UUT) cancer occurrence following primary bladder carcinoma

Exstrophy of the bladder is a rare congenital defect that occurs when the abdominal wall and underlying structures, including the ventral wall of the bladder, fail to fuse in utero. As a result, the lower urinary tract is exposed, and the everted bladder appears through the abdominal opening. Various surgical interventions have been employed with variable success in the hope of achieving complete dryness, full control over delivery of urine, freedom from catheters and external appliances, and a protected upper urinary tract. The most popular surgical approach is the primary bladder closure with secondary bladder neck reconstruction. Comprehensive nursing, medical, and surgical care are necessary to preserve renal and sexual function. The many complex problems experienced by these infants and their families call for a multidisciplinary approach. This article reviews occurrence, clinical presentation, and management of exstrophy of the bladder.

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Bladder recurrence of primary upper tract urinary carcinoma following nephroureterectomy, and risk of upper urinary tract recurrence after ureteral stent positioning in patients with primary bladder cancer

Minerva Urologica e Nefrologica ◽

10.23736/s0393-2249.19.03311-3 ◽

2019 ◽

Vol 71 (3) ◽

Cited By ~ 4

Author(s):

Francesco A. Mistretta ◽

Diego M. Carrion ◽

Sebastiano Nazzani ◽

Juan L. Vásquez ◽

Cristian Fiori ◽

...

Keyword(s):

Bladder Cancer ◽

Urinary Tract ◽

Upper Urinary Tract ◽

Ureteral Stent ◽

Upper Tract ◽

Primary Bladder ◽

Bladder Recurrence ◽

Primary Bladder Cancer

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Efficacy of intravesical Bacillus Calmette-Guérin for subsequent non-muscle invasive bladder cancer after radical nephroureterectomy for upper urinary tract urothelial carcinoma: A propensity score matched analysis with primary bladder cancer

European Urology Supplements ◽

10.1016/s1569-9056(18)31849-9 ◽

2018 ◽

Vol 17 (2) ◽

pp. e1443-e1445

Author(s):

M. Miyake ◽

Y. Tatsumi ◽

K. Fujimoto ◽

H. Matsumoto ◽

K. Nagao ◽

...

Keyword(s):

Bladder Cancer ◽

Urinary Tract ◽

Upper Urinary Tract ◽

Bacillus Calmette Guerin ◽

Radical Nephroureterectomy ◽

Muscle Invasive Bladder Cancer ◽

Primary Bladder ◽

Muscle Invasive ◽

Urinary Tract Urothelial Carcinoma ◽

Primary Bladder Cancer

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Using Hematuria as Detection of Post–kidney Transplantation Upper Urinary Tract Urothelial Carcinoma Is Associated With Delayed Diagnosis of Cancer Occurrence

Transplantation Proceedings ◽

10.1016/j.transproceed.2017.03.070 ◽

2017 ◽

Vol 49 (5) ◽

pp. 1061-1063 ◽

Cited By ~ 1

Author(s):

S.H. Lin ◽

H.L. Luo ◽

Y.T. Chen ◽

Y.T. Cheng

Keyword(s):

Kidney Transplantation ◽

Urinary Tract ◽

Urothelial Carcinoma ◽

Delayed Diagnosis ◽

Upper Urinary Tract ◽

Cancer Occurrence ◽

Diagnosis Of Cancer ◽

Urinary Tract Urothelial Carcinoma

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Severe urinary tract damage secondary to primary bladder neck obstruction in women

PLoS ONE ◽

10.1371/journal.pone.0248938 ◽

2021 ◽

Vol 16 (3) ◽

pp. e0248938

Author(s):

Pedro F. S. Freitas ◽

Augusto Q. Coelho ◽

Homero Bruschini ◽

Eric S. Rovner ◽

Cristiano M. Gomes

Keyword(s):

Renal Function ◽

Urinary Tract ◽

Bladder Neck ◽

Upper Urinary Tract ◽

Adult Women ◽

Structural Deterioration ◽

Structural Abnormalities ◽

Bladder Neck Obstruction ◽

Primary Bladder ◽

Primary Bladder Neck Obstruction

Objective To present the clinical and radiological characteristics of women with severe structural deterioration of the bladder and upper urinary tract secondary to Primary Bladder Neck Obstruction (PBNO), and their outcomes after bladder neck incision (BNI). Methods Retrospective evaluation of adult women who underwent BNI for PBNO at one institution. Patients were assessed for symptoms, renal function, structural abnormalities of the urinary tract and video-urodynamics. PBNO diagnosis was confirmed with video-urodynamics in all patients. BNI was performed at the 4–5 and/or 7–8 o’clock positions. Postoperative symptoms, PVR, uroflowmetry and renal function were evaluated and compared to baseline. Results Median patient age was 56.5 years (range 40–80). All presented with urinary retention–four were on clean intermittent Catheterization (CIC) and two with a Foley catheter. All patients had bladder wall thickening and diverticula. Four women had elevated creatinine levels, bilateral hydronephrosis was present in five (83.3%). After BNI, all patients resumed spontaneous voiding without the need for CIC. Median Qmax significantly improved from 2.0 [1.0–4.0] mL/s to 15 [10–22.7] mL/s (p = 0.031). Median PVR decreased from 150 to 46 [22–76] mL (p = 0.031). There were no postoperative complications. Creatinine levels returned to normal in 3/4 (75%) patients. Conclusion PBNO in women may result in severe damage to the bladder and upper urinary tract. Despite severe structural abnormalities of the bladder, BNI was effective in reducing symptoms and improving structural and functional abnormalities of the lower and upper urinary tract.

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