Huge bladder carcinoma successfully treated with hydrostatic pressure technique. A case report

Area of Science:

• Urology
• Oncology

Background:

• Noninvasive papillary transitional cell carcinoma can cause significant bladder outlet obstruction.
• Acute urinary retention and anasarca are severe complications of bladder cancer.
• Management of extensive bladder tumors presents therapeutic challenges.

Observation:

• A 64-year-old male patient presented with acute urinary retention and anasarca.
• The patient had a diagnosis of noninvasive multiple papillary transitional cell carcinoma extensively filling the bladder and obstructing both ureters.

Findings:

• The patient was treated with hydrostatic pressure distension.
• A dramatic and complete response was observed.
• Tumor disappearance was noted within one month of treatment.

Implications:

• Hydrostatic pressure distension may be a viable, minimally invasive treatment for extensive noninvasive bladder tumors.
• This approach offers a potential alternative to radical surgery in select cases.
• Further research is warranted to evaluate the long-term efficacy and safety of this treatment modality.