Simultaneous Open Radical Bilateral Nephroureterectomy and Cystoprostatectomy

Background: Synchronous bilateral urothelial tumours of the upper urinary tract are extremely rare. However, their treatment is a real challenge for urologists. Patient with low grade superficial urinary bladder tumour can be treated by endoscopic procedures. But they need to be put onto a surveill...

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Autores principales:	Nabeel Kuwaijo, Megan Ramsey, Kiaran O'Malley, Georgina Flood
Formato:	article
Lenguaje:	EN
Publicado:	Al-Azhar University, Faculty of Medicine (Damietta) 2020
Materias:	simultaneous radical nephroureterectomy prostatectomy cystoprostatectomy Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/ede3bf76754b4c48ba75fe716793a6c7
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spelling	oai:doaj.org-article:ede3bf76754b4c48ba75fe716793a6c72021-12-02T15:22:18ZSimultaneous Open Radical Bilateral Nephroureterectomy and Cystoprostatectomy2636-41742682-378010.21608/ijma.2020.27025.1117https://doaj.org/article/ede3bf76754b4c48ba75fe716793a6c72020-10-01T00:00:00Zhttps://ijma.journals.ekb.eg/article_101121_7fe6f3db792af0b06d8884a82d256396.pdfhttps://doaj.org/toc/2636-4174https://doaj.org/toc/2682-3780Background: Synchronous bilateral urothelial tumours of the upper urinary tract are extremely rare. However, their treatment is a real challenge for urologists. Patient with low grade superficial urinary bladder tumour can be treated by endoscopic procedures. But they need to be put onto a surveillance programme for superficial bladder cancer. In the case of high grade, invasive or large volume or multifocal tumours, radical bilateral nephroureterectomy with cystoprostatectomy is considered the standard of care. Here, We present a case of multifoci high grade tumour of bilateral renal pelvis and ureters in a patient with history of high grade superficial bladder cancer who was treated endoscopically for thirteen years. Most recently, bladder growth recurred aggressively and widely over the last six months and this was treated by single-stage Simultaneous Open Radical Bilateral Nephroureterectomy and Cystoprostatectomy. Our aim was not only to present the operative technique but also to show that the procedure is safe and effective modality of treatment. The open approach was preferred due to its advantage of shorter operative time. In addition, the decision was based on team consultation [Patients, Surgeon and Anesthetist]. The outcome was satisfactory and safe. Thus, the one setting [simultaneous] open approach is considered safe and effective. However, we do not against laparoscopic approach, but we encourage individualization [case by case] of the procedure for each patient according his clinical situation and after counselling of all members of the team.Nabeel KuwaijoMegan RamseyKiaran O'MalleyGeorgina FloodAl-Azhar University, Faculty of Medicine (Damietta)articlesimultaneousradicalnephroureterectomyprostatectomycystoprostatectomyMedicine (General)R5-920ENInternational Journal of Medical Arts, Vol 2, Iss 4, Pp 730-735 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	simultaneous radical nephroureterectomy prostatectomy cystoprostatectomy Medicine (General) R5-920
spellingShingle	simultaneous radical nephroureterectomy prostatectomy cystoprostatectomy Medicine (General) R5-920 Nabeel Kuwaijo Megan Ramsey Kiaran O'Malley Georgina Flood Simultaneous Open Radical Bilateral Nephroureterectomy and Cystoprostatectomy
description	Background: Synchronous bilateral urothelial tumours of the upper urinary tract are extremely rare. However, their treatment is a real challenge for urologists. Patient with low grade superficial urinary bladder tumour can be treated by endoscopic procedures. But they need to be put onto a surveillance programme for superficial bladder cancer. In the case of high grade, invasive or large volume or multifocal tumours, radical bilateral nephroureterectomy with cystoprostatectomy is considered the standard of care. Here, We present a case of multifoci high grade tumour of bilateral renal pelvis and ureters in a patient with history of high grade superficial bladder cancer who was treated endoscopically for thirteen years. Most recently, bladder growth recurred aggressively and widely over the last six months and this was treated by single-stage Simultaneous Open Radical Bilateral Nephroureterectomy and Cystoprostatectomy. Our aim was not only to present the operative technique but also to show that the procedure is safe and effective modality of treatment. The open approach was preferred due to its advantage of shorter operative time. In addition, the decision was based on team consultation [Patients, Surgeon and Anesthetist]. The outcome was satisfactory and safe. Thus, the one setting [simultaneous] open approach is considered safe and effective. However, we do not against laparoscopic approach, but we encourage individualization [case by case] of the procedure for each patient according his clinical situation and after counselling of all members of the team.
format	article
author	Nabeel Kuwaijo Megan Ramsey Kiaran O'Malley Georgina Flood
author_facet	Nabeel Kuwaijo Megan Ramsey Kiaran O'Malley Georgina Flood
author_sort	Nabeel Kuwaijo
title	Simultaneous Open Radical Bilateral Nephroureterectomy and Cystoprostatectomy
title_short	Simultaneous Open Radical Bilateral Nephroureterectomy and Cystoprostatectomy
title_full	Simultaneous Open Radical Bilateral Nephroureterectomy and Cystoprostatectomy
title_fullStr	Simultaneous Open Radical Bilateral Nephroureterectomy and Cystoprostatectomy
title_full_unstemmed	Simultaneous Open Radical Bilateral Nephroureterectomy and Cystoprostatectomy
title_sort	simultaneous open radical bilateral nephroureterectomy and cystoprostatectomy
publisher	Al-Azhar University, Faculty of Medicine (Damietta)
publishDate	2020
url	https://doaj.org/article/ede3bf76754b4c48ba75fe716793a6c7
work_keys_str_mv	AT nabeelkuwaijo simultaneousopenradicalbilateralnephroureterectomyandcystoprostatectomy AT meganramsey simultaneousopenradicalbilateralnephroureterectomyandcystoprostatectomy AT kiarano039malley simultaneousopenradicalbilateralnephroureterectomyandcystoprostatectomy AT georginaflood simultaneousopenradicalbilateralnephroureterectomyandcystoprostatectomy
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Simultaneous Open Radical Bilateral Nephroureterectomy and Cystoprostatectomy

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