Extended partial cystectomy with augmentation cystoplasty in urachal adenocarcinoma: An oncologically favorable but underutilized alternative to radical cystectomy
Partial/extended partial cystectomy (EPC) is the most common surgery done for localized urachal malignancies. However, sometimes, after EPC, patients may be left with small bladder remnant, reconstruction of which will result in very small capacity bladder with resultant severe storage voiding sympt...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2016-01-01
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| Series: | Urology Annals |
| Subjects: | |
| Online Access: | http://www.urologyannals.com/article.asp?issn=0974-7796;year=2016;volume=8;issue=3;spage=369;epage=371;aulast=Valsangkar |
| _version_ | 1811268278550528000 |
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| author | Rohan Satish Valsangkar Syed J Rizvi Niraj K Goyal |
| author_facet | Rohan Satish Valsangkar Syed J Rizvi Niraj K Goyal |
| author_sort | Rohan Satish Valsangkar |
| collection | DOAJ |
| description | Partial/extended partial cystectomy (EPC) is the most common surgery done for localized urachal malignancies. However, sometimes, after EPC, patients may be left with small bladder remnant, reconstruction of which will result in very small capacity bladder with resultant severe storage voiding symptoms. We report a case of urachal adenocarcinoma, in which when a small bladder remnant was left post-EPC, instead of proceeding with radical cystectomy (RC) and neobladder (the standard alternative), bladder augmentation was done with good oncological and voiding outcome. Augmentation cystoplasty has many advantages over neobladder and we suggest it as an oncologically comparable alternative to RC with neobladder, which has been underutilized in urachal malignancies as we found on literature review. |
| first_indexed | 2024-04-12T21:20:04Z |
| format | Article |
| id | doaj.art-25a2723b8c854461ae368aa63e72ab5e |
| institution | Directory Open Access Journal |
| issn | 0974-7796 0974-7834 |
| language | English |
| last_indexed | 2024-04-12T21:20:04Z |
| publishDate | 2016-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Urology Annals |
| spelling | doaj.art-25a2723b8c854461ae368aa63e72ab5e2022-12-22T03:16:20ZengWolters Kluwer Medknow PublicationsUrology Annals0974-77960974-78342016-01-018336937110.4103/0974-7796.184894Extended partial cystectomy with augmentation cystoplasty in urachal adenocarcinoma: An oncologically favorable but underutilized alternative to radical cystectomyRohan Satish ValsangkarSyed J RizviNiraj K GoyalPartial/extended partial cystectomy (EPC) is the most common surgery done for localized urachal malignancies. However, sometimes, after EPC, patients may be left with small bladder remnant, reconstruction of which will result in very small capacity bladder with resultant severe storage voiding symptoms. We report a case of urachal adenocarcinoma, in which when a small bladder remnant was left post-EPC, instead of proceeding with radical cystectomy (RC) and neobladder (the standard alternative), bladder augmentation was done with good oncological and voiding outcome. Augmentation cystoplasty has many advantages over neobladder and we suggest it as an oncologically comparable alternative to RC with neobladder, which has been underutilized in urachal malignancies as we found on literature review.http://www.urologyannals.com/article.asp?issn=0974-7796;year=2016;volume=8;issue=3;spage=369;epage=371;aulast=ValsangkarAugmentation cystoplastyextended partial cystectomyradical cystectomyurachal adenocarcinoma |
| spellingShingle | Rohan Satish Valsangkar Syed J Rizvi Niraj K Goyal Extended partial cystectomy with augmentation cystoplasty in urachal adenocarcinoma: An oncologically favorable but underutilized alternative to radical cystectomy Urology Annals Augmentation cystoplasty extended partial cystectomy radical cystectomy urachal adenocarcinoma |
| title | Extended partial cystectomy with augmentation cystoplasty in urachal adenocarcinoma: An oncologically favorable but underutilized alternative to radical cystectomy |
| title_full | Extended partial cystectomy with augmentation cystoplasty in urachal adenocarcinoma: An oncologically favorable but underutilized alternative to radical cystectomy |
| title_fullStr | Extended partial cystectomy with augmentation cystoplasty in urachal adenocarcinoma: An oncologically favorable but underutilized alternative to radical cystectomy |
| title_full_unstemmed | Extended partial cystectomy with augmentation cystoplasty in urachal adenocarcinoma: An oncologically favorable but underutilized alternative to radical cystectomy |
| title_short | Extended partial cystectomy with augmentation cystoplasty in urachal adenocarcinoma: An oncologically favorable but underutilized alternative to radical cystectomy |
| title_sort | extended partial cystectomy with augmentation cystoplasty in urachal adenocarcinoma an oncologically favorable but underutilized alternative to radical cystectomy |
| topic | Augmentation cystoplasty extended partial cystectomy radical cystectomy urachal adenocarcinoma |
| url | http://www.urologyannals.com/article.asp?issn=0974-7796;year=2016;volume=8;issue=3;spage=369;epage=371;aulast=Valsangkar |
| work_keys_str_mv | AT rohansatishvalsangkar extendedpartialcystectomywithaugmentationcystoplastyinurachaladenocarcinomaanoncologicallyfavorablebutunderutilizedalternativetoradicalcystectomy AT syedjrizvi extendedpartialcystectomywithaugmentationcystoplastyinurachaladenocarcinomaanoncologicallyfavorablebutunderutilizedalternativetoradicalcystectomy AT nirajkgoyal extendedpartialcystectomywithaugmentationcystoplastyinurachaladenocarcinomaanoncologicallyfavorablebutunderutilizedalternativetoradicalcystectomy |