Surgical treatment for urethral recurrence after ileal neobladder reconstruction in patients with bladder cancer

BJU International
Kenji YoshidaOsamu Ogawa

Abstract

To report a retrospective study evaluating the management of superficial urethral recurrence after ileal neobladder construction in patients with bladder cancer. In 77 consecutive patients with ileal neobladder after radical cystectomy for invasive bladder cancer, urethral recurrence was evaluated and transurethral resection (TUR) used as an initial treatment for superficial urethral recurrence. Urethrectomy with urinary re-diversion was performed when further recurrence developed. Four patients (5%) presented with a superficial urethral recurrence and all four were treated by TUR as initial therapy. One patient has had no evidence of recurrence after initial TUR, although the other three patients were later treated with salvage urethrectomy due to repeated urethral recurrence. As a result, the stage of urethral recurrence advanced from pTa to pT1-pT2 in two of the three patients. For urinary re-diversion, one patient had a conversion from a Studer pouch to an ileal conduit, using the afferent limb, and the other two were converted from a Hautmann pouch to a continent reservoir using the Appe-Mainz procedure. There was no evidence of metastasis or local recurrence in any of the four patients. Urethral preservation at initial th...Continue Reading

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Citations

Aug 25, 2012·European Urology·Georgios GakisUNKNOWN International Consultation on Urologic Disease-European Association of Urology Consultation on Bladder Cancer 2012
Sep 20, 2008·The Journal of Urology·Jason L NellesUNKNOWN Urologic Diseases in America Project
Dec 17, 2009·BJU International·Jennifer M TaylorLouis L Pisters
Oct 9, 2016·The Urologic Clinics of North America·Kamran Zargar-ShoshtariMichael A Poch
Jul 17, 2021·Urologic Oncology·Ekaterina LaukhtinaUNKNOWN European Association of Urology–Young Academic Urologists Urothelial Carcinoma Working Group (EAU-YAU)

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