Premium
Bladder‐sparing surgery and continent urinary diversion using the appendix (Mitrofanoff procedure) for urethral cancer
Author(s) -
KOBAYASHI MIZUKI,
NOMURA MASAYOSHI,
YAMADA YOJI,
FUJIMOTO NAOHIRO,
MATSUMOTO TETSURO
Publication year - 2005
Publication title -
international journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.172
H-Index - 67
eISSN - 1442-2042
pISSN - 0919-8172
DOI - 10.1111/j.1442-2042.2005.01107.x
Subject(s) - medicine , urinary diversion , surgery , urinary continence , appendix , bladder cancer , transitional cell carcinoma , urinary system , urology , cancer , urinary bladder , carcinoma , cystectomy , prostate , prostatectomy , paleontology , biology
We performed bladder‐sparing surgery and continent urinary diversion in two patients with urethral cancer. The first patient was a 58‐year‐old man with bulbomembranous urethral cancer (squamous cell carcinoma, cT2N0M0). The second patient was a 77‐year‐old woman with urethral cancer invading the vaginal wall (transitional cell carcinoma with squamous cell carcinoma, cT3N0M0). After bladder‐sparing urethrectomy, continent urinary diversion with appendicovesicostomy (Mitrofanoff procedure) was performed in the both patients. More than 4 years after the surgery, both patients were continent, had no trouble with catheterization, and experienced no recurrence of cancer. Bladder‐sparing surgery and urinary diversion based on the Mitrofanoff procedure can be considered for appropriately selected patients with urethral cancer.