[Laparoscopic Radical Cystectomy with Ileal Neobladder for Metachronous Bladder Cancer Following Laparoscopic Radical...

A 67-year-old man presented with gross hematuria. The patient underwent laparoscopic radical prostatectomy for localized prostate cancer 8 years ago. Metachronous bladder cancer (pT1, high-grade and pTis) was diagnosed by transurethral resection. Laparoscopic radical cystectomy and construction of an ileal neobladder were performed. During the operation, mild adhesion was observed between the bladder and rectum ; however, there were no intraoperative complications. The patient had dysuria 2 months postoperatively, and neovesical-urethral anastomotic stricture was revealed by cystoscopy. We performed transurethral incision, and the patient voided properly except for mild incontinence. There was no evidence of recurrence 4 years after the operation.