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Minerva Urologica e Nefrologica 2004 September;56(3):325-6

Copyright © 2004 EDIZIONI MINERVA MEDICA

language: English

Gross hematuria 10 years after radical cystectomy: adenomatous polyp

Leonardo B., De Nunzio C., Rondoni M., Leonardo F.

Department of Urology Parodi-Delfino Hospital, Colleferro, Rome, Italy


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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.

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