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Flat adenomas in a colonic bladder augmentation patch: cystoscopic removal using an endoscopic mucosal resection
David A Elphick1, Paul R Tophill, S Kim Suvarna
1Department of Gastroenterology, Northern General Hospital, Sheffield Teaching Hospitals NHS Trust, Sheffield, United Kingdom. david.elphick@sth.nhs.uk
Urology
|March 1, 2008
Summary
Bladder augmentation with colonic patches carries a risk of neoplasia. A large flat adenoma was successfully removed endoscopically from an augmented bladder, highlighting surveillance techniques.
Area of Science:
- Urology
- Gastroenterology
- Oncology
Background:
- Bladder augmentation using colonic segments is a common procedure.
- Neoplasia developing in augmented bladders is a known complication.
Observation:
- A 62-year-old male patient developed a large flat adenoma in the colonic mucosa of his augmented bladder.
- The adenoma was detected and completely resected using a cystoscope with endoscopic mucosal resection (EMR).
Findings:
- Endoscopic mucosal resection (EMR) is an effective technique for removing neoplastic lesions in augmented bladders.
- Methods utilized in colonoscopy for early detection and resection of neoplastic lesions can be applied to colonic patch surveillance during cystoscopy.
Implications:
- This case demonstrates the feasibility of endoscopic management for early-stage neoplasia in augmented bladders.
- Routine cystoscopic surveillance with endoscopic techniques may improve outcomes for patients with colonic bladder augmentation.
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