title: Cystectomy with orthotopic ileal neobladder reconstruction for treatment of bladder contracture after intravesical bacillus Calmette-Guerin therapy.
abstract: Bladder cancer is an important health problem worldwide due to high prevalence rates and costs related to treatment. A reduction in recurrence rates has been observed since the introduction of adjuvant intravesical immunotherapy with bacillus Calmette-Guerin. There are mild complications that are easily solved by local measures and orientations. Bladder contracture, a rare and severe local complication, in some cases leading to disability, is observed primarily in patients in a maintenance program. In this article we reported the case of a male patient who underwent transurethral resection of the bladder because of a high-grade T1 urothelial carcinoma and developed this complication during treatment with bacillus Calmette-Guerin. For this reason he was submitted to cystoprostatectomy with orthotopic ileal neobladder reconstruction.
authors: Faculdade de Ciências Médicas, Irmandade da Santa Casa de Misericórdia de São Paulo, São Paulo, SP, Brasil.
authors: José Eduardo
authors: JE
authors: Vetorazzo Filho
authors: Faculdade de Ciências Médicas, Irmandade da Santa Casa de Misericórdia de São Paulo, São Paulo, SP, Brasil.
authors: Leandro Augusto Costa
authors: LA
authors: Bahia
authors: Faculdade de Ciências Médicas, Irmandade da Santa Casa de Misericórdia de São Paulo, São Paulo, SP, Brasil.
authors: Bruno César
authors: BC
authors: Vedovato
authors: Faculdade de Ciências Médicas, Irmandade da Santa Casa de Misericórdia de São Paulo, São Paulo, SP, Brasil.
authors: Paulo Eduardo Goulart
authors: PE
authors: Maron
authors: Faculdade de Ciências Médicas, Irmandade da Santa Casa de Misericórdia de São Paulo, São Paulo, SP, Brasil.
authors: Paulo Ebert
authors: PE
authors: Esteves
authors: Faculdade de Ciências Médicas, Irmandade da Santa Casa de Misericórdia de São Paulo, São Paulo, SP, Brasil.
authors: Roni de Carvalho
authors: Rde C
authors: Fernandes
authors: Faculdade de Ciências Médicas, Irmandade da Santa Casa de Misericórdia de São Paulo, São Paulo, SP, Brasil.
authors: Marjo Deninson Cardenuto
authors: MD
authors: Perez
mesh_terms: D000276:Adjuvants, Immunologic / Q000009:adverse effects*; D000283:Administration, Intravesical; D001500:BCG Vaccine / Q000009:adverse effects*; D002277:Carcinoma / Q000150:complications / Q000628:therapy*; D017024:Chemotherapy, Adjuvant / Q000009:adverse effects; D003286:Contracture / Q000209:etiology / Q000601:surgery*; D015653:Cystectomy / Q000379:methods*; D003556:Cystitis / Q000601:surgery; D006801:Humans; D007082:Ileum / Q000601:surgery; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome; D001743:Urinary Bladder; D001745:Urinary Bladder Diseases / Q000209:etiology / Q000601:surgery*; D001749:Urinary Bladder Neoplasms / Q000150:complications / Q000628:therapy*; D014547:Urinary Diversion / Q000379:methods
chemical_list: D000276:Adjuvants, Immunologic; D001500:BCG Vaccine
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