title: Effectiveness of Antegrade Access in Bladder Tumors With Inaccessible Urethra.
abstract: Inaccessible urethra with no retrograde endoscopic access due to multiple/diffuse strictures or multiple urethrocutaneous fistulas with acute urinary retention due to posturethral instrumentation (transurethral resection of bladder tumor [TURBT], or TURBT with transurethral resection of the prostate [TURP]), is a rare entity. Management of such a case with a bladder tumor for TURBT/surveillance cystoscopy poses a great challenge. The authors present 12 cases of bladder tumor with inaccessible urethra, 10 cases due to multiple strictures (post-TURBT and/or TURP), and 2 cases due to urethrocutaneous fistulas (post-TURBT), who presented to our emergency department with acute urinary retention. Emergent suprapubic catheterization was used as a temporary treatment method.
authors.affiliation: Department of Urology Sher-I-Kashmir Institute of Medical Sciences and Department of Urology, Shri Maharaja Hari Singh Hospital, Srinagar, India.
authors.forename: Abdul Rouf
authors.initials: AR
authors.lastname: Khawaja
authors.affiliation: Department of Urology Sher-I-Kashmir Institute of Medical Sciences and Department of Urology, Shri Maharaja Hari Singh Hospital, Srinagar, India.
authors.forename: Tanveer Iqbal
authors.initials: TI
authors.lastname: Dar
authors.affiliation: Department of Urology Sher-I-Kashmir Institute of Medical Sciences and Department of Urology, Shri Maharaja Hari Singh Hospital, Srinagar, India.
authors.forename: Sajad
authors.initials: S
authors.lastname: Maik
authors.affiliation: Department of Urology Sher-I-Kashmir Institute of Medical Sciences and Department of Urology, Shri Maharaja Hari Singh Hospital, Srinagar, India.
authors.forename: Javaid
authors.initials: J
authors.lastname: Magray
authors.affiliation: Department of Urology Sher-I-Kashmir Institute of Medical Sciences and Department of Urology, Shri Maharaja Hari Singh Hospital, Srinagar, India.
authors.forename: Ashiq
authors.initials: A
authors.lastname: Bhat
authors.affiliation: Department of Urology Sher-I-Kashmir Institute of Medical Sciences and Department of Urology, Shri Maharaja Hari Singh Hospital, Srinagar, India.
authors.forename: Arif Hameed
authors.initials: AH
authors.lastname: Bhat
authors.affiliation: Department of Urology Sher-I-Kashmir Institute of Medical Sciences and Department of Urology, Shri Maharaja Hari Singh Hospital, Srinagar, India.
authors.forename: Mohd Saleem
authors.initials: MS
authors.lastname: Wani
authors.affiliation: Department of Urology Sher-I-Kashmir Institute of Medical Sciences and Department of Urology, Shri Maharaja Hari Singh Hospital, Srinagar, India.
authors.forename: Baldev Singh
authors.initials: BS
authors.lastname: Wazir
keywords: Bladder tumors; Inaccessible urethra; Suprapubic cystostomy; Tract seedling
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