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Related Experiment Videos

Postrenal transplant urethral Kock pouch

A A Shokeir1, M A Shamaa, H Abol-Enien

  • 1Urology and Nephrology Centre, Mansoura University, Egypt.

Scandinavian Journal of Urology and Nephrology
|September 1, 1994
PubMed
Summary

A man with bladder cancer after a kidney transplant maintained continence and graft function for two years post-surgery. This case highlights successful management of bladder cancer in transplant recipients.

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Physiological research·2014

Area of Science:

  • Urology
  • Oncology
  • Transplantation Medicine

Background:

  • Schistosomal bladder is a risk factor for bladder cancer.
  • Transitional cell carcinoma of the bladder can occur years after renal transplantation.
  • Management of bladder cancer in immunosuppressed patients presents unique challenges.

Observation:

  • A patient with schistosomal bladder developed stage T3N0M0, grade II transitional cell carcinoma 9 years post-renal transplantation.
  • Radical cystoprostatectomy with urethral Kock pouch urinary diversion was performed.

Findings:

  • The patient achieved urinary continence.
  • Renal graft function was maintained without reflux or obstruction at 2-year follow-up.
  • No significant complications related to intestinal healing or intraabdominal sepsis were noted, despite immunosuppression.

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Implications:

  • Radical cystoprostatectomy and Kock pouch diversion can be safely performed in renal transplant recipients.
  • Successful outcomes are achievable in managing bladder cancer in this patient population.
  • This case underscores the importance of long-term surveillance for malignancy in patients with a history of schistosomal bladder and renal transplantation.