title: [Self-catheterizable urinary re-diversion using the appendix for urethral recurrence after ileal neobladder].
abstract: A 68-year-old man underwent urinary re-diversion due to urethral recurrence 2 years after radical cystectomy with ileal neobladder reconstruction. Computed tomography, magnetic resonance imaging and cystoscopy revealed anastomotic recurrence between bladder and urethra with a tendency of urinary retention. Transurethral resection of bladder tumor was performed and pathological findings showed transitional cell carcinoma (TCC), papillary invasive G3, pT1 or more. Finally, we performed total urethrectomy and partial resection of bladder neck with self-catheterizable urinary rediversion using appendix. Pathological findings showed TCC, G3, pT1. Self-catheterizable urinary re-diversion using the appendix can be an option for urethral recurrence after ileal neobladder reconstruction.
authors.affiliation: The Department of Urology, Uji Tokushukai Hospital.
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Ushida
authors.forename: Yoshikata
authors.initials: Y
authors.lastname: Masuda
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Yoshida
authors.forename: Yusaku
authors.initials: Y
authors.lastname: Okada
mesh_terms: D000368:Aged; D001065:Appendix / Q000637:transplantation*; D002295:Carcinoma, Transitional Cell / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008297:Male; D009364:Neoplasm Recurrence, Local; D009367:Neoplasm Staging; D012086:Reoperation; D012648:Self Care; D014521:Urethra / Q000601:surgery*; D001743:Urinary Bladder / Q000601:surgery; D001749:Urinary Bladder Neoplasms / Q000473:pathology / Q000601:surgery*; D014546:Urinary Catheterization; D014547:Urinary Diversion / Q000379:methods*