Gross hematuria 10 years after radical cystectomy: adenomatous polyp
Leonardo, C.; De Nunzio, C.; Rondoni, M.; Leonardo, F.
Minerva Urologica e Nefrologica 56(3): 325-326
2004
ISSN/ISBN: 0393-2249 PMID: 15467510 Document Number: 581056
Patients undergoing radical cystectomy with an ileal neobladder need intensive follow-up due to the recent studies concerning the potential neoplastic transformation of the intestinal mucosa. We report a case of a gross hematuria due to a lesion that developed in an ileal orthotopic bladder 10 years after a nerve and seminal sparing radical cystectomy for transitional bladder cancer. We performed a transurethral resection of the lesion and histopathological evaluation revealed an adenomatous polyp. In our case transurethral resection of the adenoma seems to be a safe and conservative approach in the management of these lesions, however further follow-up is requested.