Orthotopic neobladder and subsequent renal transplantation.
Continent urinary diversion has become an attractive alternative to traditional conduits after cystectomy in select patients, including those awaiting renal transplantation. We report a case of a surgically anephric dialysis patient who underwent radical cystoprostatectomy with orthotopic ileal neobladder for recurrent superficial transitional cell carcinoma of the bladder and subsequent living-related renal transplantation 7 months later. We also discuss the perioperative adjuncts paramount to successful outcomes in such patients.
Nimeh
Toni
T
Urological Institute, Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA.
Ng
Christopher S
CS
Goldfarb
David A
DA
Klein
Eric A
EA
D002295:Carcinoma, Transitional Cell / Q000473:pathology / Q000601:surgery*; D006801:Humans; D007680:Kidney Neoplasms / Q000473:pathology / Q000601:surgery; D016030:Kidney Transplantation / Q000379:methods*; D008297:Male; D008875:Middle Aged; D009378:Neoplasms, Multiple Primary / Q000473:pathology / Q000601:surgery*; D009392:Nephrectomy; D014513:Ureter / Q000601:surgery; D001749:Urinary Bladder Neoplasms / Q000473:pathology / Q000601:surgery*; D014547:Urinary Diversion / Q000379:methods*