Gross hematuria 10 years after radical cystectomy: adenomatous polyp.
Patients undergoing radical cystectomy with an ileal neobladder need intensive follow-up due to the recent studies concerning the potential neoplastic transformation of the intestinal mucosa. We report a case of a gross hematuria due to a lesion that developed in an ileal orthotopic bladder 10 years after a nerve and seminal sparing radical cystectomy for transitional bladder cancer. We performed a transurethral resection of the lesion and histopathological evaluation revealed an adenomatous polyp. In our case transurethral resection of the adenoma seems to be a safe and conservative approach in the management of these lesions, however further follow-up is requested.
Leonardo
C
C
Department of Urology, Parodi-Delfino Hospital, Colleferro, Rome, Italy.
De Nunzio
C
C
Rondoni
M
M
Leonardo
F
F
D018256:Adenomatous Polyps / Q000150:complications / Q000209:etiology*; D000328:Adult; D015653:Cystectomy; D006417:Hematuria / Q000209:etiology*; D006801:Humans; D008297:Male; D012720:Severity of Illness Index; D013997:Time Factors; D001749:Urinary Bladder Neoplasms / Q000150:complications / Q000209:etiology*; D014547:Urinary Diversion / Q000009:adverse effects*