[Infiltrating bladder tumor in a renal transplant patient: cystectomy with prostatic conservation and enterocystoplasty].
OBJECTIVE
The principles of treatment of de novo bladder tumours in renal transplant patients are comparable to those applied in non-transplant patients. In the case of an invasive tumour, techniques can be used to restore urinary tract continuity after cystectomy. A case of cystectomy with enterocystoplasty for invasive bladder tumour in a renal transplant patient is reported.


METHODS
An invasive urothelial bladder tumour was discovered in a 62-year-old man, 3 months after a 2nd renal transplantation. Treatment consisted of cystectomy with prostatic preservation and nontubulized enterocystoplasty.


RESULTS
With a follow-up of 21 months after cystectomy, the patient is alive without recurrence. He is perfectly continent during the day, with normal sexual intercourse and no reflux or residual urine. Renal function is normal.


CONCLUSIONS
Cystectomy with enterocystoplasty can be an effective treatment for invasive bladder tumour in renal transplant patients. This treatment ensures oncological control and acceptable comfort while preserving the transplant.
Koutani
A
A
Service d'Urologie et Transplantation Rénale, Marseille, France.
Lechevallier
E
E
Coulange
C
C
D002295:Carcinoma, Transitional Cell / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D003075:Coitus; D015653:Cystectomy; D006801:Humans; D016030:Kidney Transplantation / Q000009:adverse effects* / Q000276:immunology; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed; D001749:Urinary Bladder Neoplasms / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D016476:Urinary Reservoirs, Continent; D014563:Urodynamics