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Radical Cystectomy, Bilateral Lymphadenectomy and Native Ureteral Ligation in a Patient With History of Kidney Transplantation Publisher



Basiri A1 ; Dadpour M2 ; Madani MH2 ; Amini E3
Authors
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Authors Affiliations
  1. 1. Urology and Nephrology Research Center, Erfan and Labbafinejad Hospital, Urology Department, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  2. 2. Urology and Nephrology Research Center, Shahid Labbafinejad Hospital, Urology Department, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  3. 3. Uro-Oncology Research Center, Tehran University of Medical Sciences, Urology Department, Tehran, Iran

Source: Journal of Surgical Case Reports Published:2022


Abstract

We reported radical cystectomy (RC), bilateral lymphadenectomy and orthotopic ileal neobladder reconstruction in a patient with history of kidney transplant. A 71-year-old man was referred to us with bladder tumor, elevated serum creatinine (1.9 mg/dl), hydroureteronephrosis in transplanted kidney and a 5-6-cm sessile mass in the right bladder wall with involvement of transplanted ureter orifice. The patient was candidate for RC. The native ureters were ligated permanently. Extended lymphadenectomy in left side and limited lymphadenectomy in right side were performed. The patient underwent ileal orthotopic neobladder reconstruction, and the graft ureter was reimplanted to ascending loop of the pouch with end-to-end anastomosis. In conclusion, bilateral lymphadenectomy is feasible in patients with a history of kidney transplantation during RC. Permanent ligation of native ureters is better to perform to reduce the time of surgery and prevent late probable morbidities due to uretero-intestinal reimplantation complications. © 2022 Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved.