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CASE REPORT
Year : 2016  |  Volume : 8  |  Issue : 3  |  Page : 369-371

Extended partial cystectomy with augmentation cystoplasty in urachal adenocarcinoma: An oncologically favorable but underutilized alternative to radical cystectomy


Department of Urology and Transplantation Surgery, Smt G.R. Doshi and Smt K.M. Mehta Institute of Kidney Disease and Research Centre, Dr. H.L. Trivedi Institute of Transplantation Sciences, Ahmedabad, Gujarat, India

Correspondence Address:
Rohan Satish Valsangkar
Department of Urology and Organ Transplantation, Institute of Kidney Diseases and Research Centre and Institute of Organ Transplantation Sciences, Civil Hospital Campus, Asarwa, Ahmedabad, Gujarat - 380 016
India
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DOI: 10.4103/0974-7796.184894

PMID: 27453665

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Partial/extended partial cystectomy (EPC) is the most common surgery done for localized urachal malignancies. However, sometimes, after EPC, patients may be left with small bladder remnant, reconstruction of which will result in very small capacity bladder with resultant severe storage voiding symptoms. We report a case of urachal adenocarcinoma, in which when a small bladder remnant was left post-EPC, instead of proceeding with radical cystectomy (RC) and neobladder (the standard alternative), bladder augmentation was done with good oncological and voiding outcome. Augmentation cystoplasty has many advantages over neobladder and we suggest it as an oncologically comparable alternative to RC with neobladder, which has been underutilized in urachal malignancies as we found on literature review.


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