Ces Urol 2018, 22(3):197-202 | DOI: 10.48095/cccu2018021

Adenocarcinoma of sigmoid bladder augmentation

Jan Schraml^1,2, Martina Chodacká², Marek Broul¹, Petra Hokůvová¹

^1Klinika urologie a robotické chirurgie, Masarykova nemocnice, o.z., KZ, a. s., Univerzita Jana Evangelisty Purkyně, Ústí nad Labem

^2Uroonkologický tým Komplexního onkologického centra, Masarykova nemocnice, o.z., KZ, a. s., Ústí nad Labem

Schraml J, Chodacká M, Broul M, Hokůvová P. Adenocarcinoma of sigmoid bladder augmentation. The authors report a case of a woman who, at the age of 21 years, underwent bladder augmentation using a detubularized segment of the sigmoid colon for recurrent ulcerative cystitis. The treatment was successful, the patient has lived a normal full life, including an uneventful pregnancy with a natural vaginal delivery. The patient had had no urological complaints until 54 years old when she sought urologic care for recurrent lower urinary tract infections. The examination revealed a tumour in the augmented part of the bladder. Although it was a poorly differentiated G3 adenocarcinoma, the tumour could be removed radically and the resected part replaced with a detubularized ileal graft. The patient is now, eight months after the procedure, completely free of complaints, with no recurrence, using clean intermittent catheterization with occasional spontaneous voiding, is continent, and under regular surveillance by a urologic oncology team. The present case report illustrates the importance of regular and continuous surveillance of patients with a history of reconstructive urologic surgery using an intestinal graft.

Keywords: Bladder augmentation, detubulative segment sigmatis, ulcerative cystitis, tumor-augmented bladder parts, adenocarcinoma, pure intermittent catheterization.

Received: March 20, 2018; Accepted: July 13, 2018; Prepublished online: June 26, 2018; Published: September 30, 2018