Article

Bladder-sparing surgery and continent urinary diversion using the appendix (Mitrofanoff procedure) for urethral cancer.

Department of Urology, School of Medicine, University of Occupational and Environmental Health, Kitakyushu 807-8555, Japan.
International Journal of Urology (impact factor: 1.75). 07/2005; 12(6):581-4. DOI:10.1111/j.1442-2042.2005.01107.x pp.581-4
Source: PubMed

ABSTRACT We performed bladder-sparing surgery and continent urinary diversion in two patients with urethral cancer. The first patient was a 58-year-old man with bulbomembranous urethral cancer (squamous cell carcinoma, cT2N0M0). The second patient was a 77-year-old woman with urethral cancer invading the vaginal wall (transitional cell carcinoma with squamous cell carcinoma, cT3N0M0). After bladder-sparing urethrectomy, continent urinary diversion with appendicovesicostomy (Mitrofanoff procedure) was performed in the both patients. More than 4 years after the surgery, both patients were continent, had no trouble with catheterization, and experienced no recurrence of cancer. Bladder-sparing surgery and urinary diversion based on the Mitrofanoff procedure can be considered for appropriately selected patients with urethral cancer.

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Keywords

4 years
 
77-year-old woman
 
Bladder-sparing surgery
 
bladder-sparing urethrectomy
 
bulbomembranous urethral cancer
 
continent urinary diversion
 
first patient
 
Mitrofanoff procedure
 
recurrence
 
squamous cell carcinoma
 
transitional cell carcinoma
 
urethral cancer
 
urinary diversion
 
vaginal wall