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101121

Simultaneous Open Radical Bilateral Nephroureterectomy and Cystoprostatectomy

Article

Last updated: 24 Dec 2024

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Subjects

-

Tags

Surgery

Abstract

Background:  Synchronous bilateral urothelial tumours of the upper urinary tract are extremely rare. However, their treatment is a real challenge for urologists. Patient with low grade superficial urinary bladder tumour can be treated by endoscopic procedures. But they need to be put onto a surveillance programme for superficial bladder cancer.  In the case of high grade, invasive or large volume or multifocal tumours, radical bilateral nephroureterectomy with cystoprostatectomy is considered the standard of care.
Here, We present a case of multifoci high grade tumour of bilateral renal pelvis and ureters in a patient with history of high grade superficial bladder cancer who was treated endoscopically for thirteen years. Most recently, bladder growth recurred aggressively and widely over the last six months and this was treated by single-stage Simultaneous Open Radical Bilateral Nephroureterectomy and Cystoprostatectomy. Our aim was not only to present the operative technique but also to show that the procedure is safe and effective modality of treatment. The open approach was preferred due to its advantage of shorter operative time. In addition, the decision was based on team consultation [Patients, Surgeon and Anesthetist]. The outcome was satisfactory and safe. Thus, the one setting [simultaneous] open approach is considered safe and effective. However, we do not against laparoscopic approach, but we encourage individualization [case by case] of the procedure for each patient according his clinical situation and after counselling of all members of the team.   

DOI

10.21608/ijma.2020.27025.1117

Keywords

Simultaneous, Radical, Nephroureterectomy, Prostatectomy, Cystoprostatectomy

Authors

First Name

Nabeel

Last Name

Kuwaijo

MiddleName

-

Affiliation

Consultant Urologist, The Galway Clinic - Royal College of Surgeons in Ireland

Email

dr_kwaijo@yahoo.com

City

Hansfield Wood

Orcid

00353864559955

First Name

Megan

Last Name

Ramsey

MiddleName

-

Affiliation

Trainee of Histopathology, The Mater Misericordiae University Hospital Dublin Ireland

Email

meganramsey@rcsi.ie

City

-

Orcid

-

First Name

Kiaran

Last Name

O'Malley

MiddleName

-

Affiliation

Consultant Urologist, The Mater Misericordiae University Hospital Dublin Ireland

Email

kiaranomalley@mater.ie

City

-

Orcid

-

First Name

Georgina

Last Name

Flood

MiddleName

-

Affiliation

Chair– Division of Anesthesia, Mater Misericordiae University Hospital, Ireland

Email

gflood@mater.ie

City

-

Orcid

-

Volume

2

Article Issue

4

Related Issue

17986

Issue Date

2020-10-01

Receive Date

2020-03-31

Publish Date

2020-10-01

Page Start

730

Page End

735

Print ISSN

2636-4174

Online ISSN

2682-3780

Article File

IJMA_Volume 2_Issue 4_Pages 730-735.pdf

PDF . 3.1MB

Link

https://ijma.journals.ekb.eg/article_101121.html

Detail API

https://ijma.journals.ekb.eg/service?article_code=101121

Order

8

Type

Case Report

Type Code

819

Publication Type

Journal

Publication Title

International Journal of Medical Arts

Publication Link

https://ijma.journals.ekb.eg/

MainTitle

Simultaneous Open Radical Bilateral Nephroureterectomy and Cystoprostatectomy

Details

Type

Article

Created At

22 Jan 2023