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Bladder carcinoma involving the lower abdominal wall
The Journal of Urology
|November 1, 1975
Summary
This study presents surgical treatment for bladder tumors invading the abdominal wall. Excision and closure with ox fascia showed an 88% success rate in preventing local recurrence, though distant metastases remain a concern.
Area of Science:
- Oncology
- Surgical Oncology
- Urology
Background:
- Bladder tumors can invade the abdominal wall, posing complex treatment challenges.
- Limited data exists on surgical management of abdominal wall involvement by bladder tumors.
Purpose of the Study:
- To present surgical experience in managing bladder tumors involving the abdominal wall.
- To describe a specific surgical technique for tumor resection and abdominal wall reconstruction.
Main Methods:
- Surgical excision of the affected suprapubic abdominal wall segment.
- Reconstruction of the resulting defect using ox fascia.
- Follow-up assessment for local recurrence and distant metastases.
Main Results:
- Eight of nine surgically treated patients (88.9%) showed no local recurrence.
- Distant metastases were observed in surgically treated patients.
- Two patients remain clinically disease-free 18 and 22 months post-surgery.
Conclusions:
- Surgical excision of abdominal wall tumors involving bladder cancer is effective in preventing local recurrence.
- Ox fascia is a viable option for abdominal wall reconstruction after tumor resection.
- Further management strategies are needed to address distant metastases in these patients.