The Treatment of Recurrent Urothelial Tumors of the Upper Urinary System and at Urostomy Site following Radical Cystectomy with Intraureteral Bacillus Calmette-Guérin and Cryotherapy

Urinary bladder carcinoma is the second most common cancer of the urinary system. The recurrence rate in the upper urinary system (UUS) for urothelial cancers is around 3% following radical cystectomy. The followup generally consists of imaging studies and urinary cytology, although there are no pro...

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Main Authors: Abdullah Demirtaş, Yunus Emre Yıldırım, Ayten Ferahbaş, Emre Can Akınsal, Oguz Ekmekçioğlu, Atila Tatlışen
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Case Reports in Urology
Online Access:http://dx.doi.org/10.1155/2013/490373
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author Abdullah Demirtaş
Yunus Emre Yıldırım
Ayten Ferahbaş
Emre Can Akınsal
Oguz Ekmekçioğlu
Atila Tatlışen
author_facet Abdullah Demirtaş
Yunus Emre Yıldırım
Ayten Ferahbaş
Emre Can Akınsal
Oguz Ekmekçioğlu
Atila Tatlışen
author_sort Abdullah Demirtaş
collection DOAJ
description Urinary bladder carcinoma is the second most common cancer of the urinary system. The recurrence rate in the upper urinary system (UUS) for urothelial cancers is around 3% following radical cystectomy. The followup generally consists of imaging studies and urinary cytology, although there are no prospective data on the frequency, the mode, and the duration of followup. In patients carefully selected according to risk factors, kidney-sparing minimally invasive methods (ureteroscopic procedures, percutaneous approach, and local drug instillation) appear as contemporary alternatives for low-grade and low-stage primary UUS. In this paper, we present the patient who underwent radical cystectomy with urinary diversion ureterocutaneostomy, was diagnosed with widespread bilateral UUS tumors and recurrent tumor at the urostomy site at active followup, for which he was given local Bacillus Calmette-Guérin (BCG) and cryotherapy, and was followed by disease-free for 2 years thereafter.
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institution Kabale University
issn 2090-696X
2090-6978
language English
publishDate 2013-01-01
publisher Wiley
record_format Article
series Case Reports in Urology
spelling doaj-art-625c718248904e96b4405e67962a14112025-02-03T05:47:10ZengWileyCase Reports in Urology2090-696X2090-69782013-01-01201310.1155/2013/490373490373The Treatment of Recurrent Urothelial Tumors of the Upper Urinary System and at Urostomy Site following Radical Cystectomy with Intraureteral Bacillus Calmette-Guérin and CryotherapyAbdullah Demirtaş0Yunus Emre Yıldırım1Ayten Ferahbaş2Emre Can Akınsal3Oguz Ekmekçioğlu4Atila Tatlışen5Department of Urology, Erciyes University Medical Faculty, 38039 Kayseri, TurkeyDepartment of Urology, Erciyes University Medical Faculty, 38039 Kayseri, TurkeyDepartment of Dermatology, Erciyes University Medical Faculty, 38039 Kayseri, TurkeyDepartment of Urology, Erciyes University Medical Faculty, 38039 Kayseri, TurkeyDepartment of Urology, Erciyes University Medical Faculty, 38039 Kayseri, TurkeyDepartment of Urology, Erciyes University Medical Faculty, 38039 Kayseri, TurkeyUrinary bladder carcinoma is the second most common cancer of the urinary system. The recurrence rate in the upper urinary system (UUS) for urothelial cancers is around 3% following radical cystectomy. The followup generally consists of imaging studies and urinary cytology, although there are no prospective data on the frequency, the mode, and the duration of followup. In patients carefully selected according to risk factors, kidney-sparing minimally invasive methods (ureteroscopic procedures, percutaneous approach, and local drug instillation) appear as contemporary alternatives for low-grade and low-stage primary UUS. In this paper, we present the patient who underwent radical cystectomy with urinary diversion ureterocutaneostomy, was diagnosed with widespread bilateral UUS tumors and recurrent tumor at the urostomy site at active followup, for which he was given local Bacillus Calmette-Guérin (BCG) and cryotherapy, and was followed by disease-free for 2 years thereafter.http://dx.doi.org/10.1155/2013/490373
spellingShingle Abdullah Demirtaş
Yunus Emre Yıldırım
Ayten Ferahbaş
Emre Can Akınsal
Oguz Ekmekçioğlu
Atila Tatlışen
The Treatment of Recurrent Urothelial Tumors of the Upper Urinary System and at Urostomy Site following Radical Cystectomy with Intraureteral Bacillus Calmette-Guérin and Cryotherapy
Case Reports in Urology
title The Treatment of Recurrent Urothelial Tumors of the Upper Urinary System and at Urostomy Site following Radical Cystectomy with Intraureteral Bacillus Calmette-Guérin and Cryotherapy
title_full The Treatment of Recurrent Urothelial Tumors of the Upper Urinary System and at Urostomy Site following Radical Cystectomy with Intraureteral Bacillus Calmette-Guérin and Cryotherapy
title_fullStr The Treatment of Recurrent Urothelial Tumors of the Upper Urinary System and at Urostomy Site following Radical Cystectomy with Intraureteral Bacillus Calmette-Guérin and Cryotherapy
title_full_unstemmed The Treatment of Recurrent Urothelial Tumors of the Upper Urinary System and at Urostomy Site following Radical Cystectomy with Intraureteral Bacillus Calmette-Guérin and Cryotherapy
title_short The Treatment of Recurrent Urothelial Tumors of the Upper Urinary System and at Urostomy Site following Radical Cystectomy with Intraureteral Bacillus Calmette-Guérin and Cryotherapy
title_sort treatment of recurrent urothelial tumors of the upper urinary system and at urostomy site following radical cystectomy with intraureteral bacillus calmette guerin and cryotherapy
url http://dx.doi.org/10.1155/2013/490373
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