Cistectomia com reconstrução de neobexiga ortotópica ileal para tratamento de bexiga contraída após aplicação de bacilo de Calmette-Guérin intravesical

Abstract

Bladder cancer is an important health problem worldwide due to high prevalence rates and costs related to treatment. A reduction in recurrence rates has been observed since the introduction of adjuvant intravesical immunotherapy with bacillus Calmette-Guerin. There are mild complications that are easily solved by local measures and orientations. Bladder contracture, a rare and severe local complication, in some cases leading to disability, is observed primarily in patients in a maintenance program. In this article we reported the case of a male patient who underwent transurethral resection of the bladder because of a high-grade T1 urothelial carcinoma and developed this complication during treatment with bacillus Calmette-Guerin. For this reason he was submitted to cystoprostatectomy with orthotopic ileal neobladder reconstruction.

Physiotherapy in Post Neobladder Voiding Dysfunction in the Treatment of Malignant Neoplasm

“…This case report is a continuation of a previous case reported by Filho et al 2 after follow-up by the pelvic urology and physiotherapy team. A 53-year-old male patient, who was a smoker, with no previous background, presented with painless macroscopic haematuria, which began 3 days before admission to the emergency department in 2009.…”

“…It has a high prevalence in several populations and its treatment has a high cost. 1,2 The American Cancer Society (ACS) estimated there would be 81,190 new cases of bladder cancer, 62,380 cases related to men and 18,810 to women, in the USA during 2018. 3 With regard to Europe, in 2012 it was estimated there were 118,000 new cases and 52,000 deaths.…”

Clinical Spectrum of Complications Induced by Intravesical Immunotherapy of Bacillus Calmette-Guérin for Bladder Cancer

“…However, if patients with incapacitating symptoms are refractory to conservative treatment, a short 2-4-week course of oral steroids sandwiched during anti-tuberculous therapy should be considered [ 21 ]. It is only the exceptional case that major surgery such as bladder augmentation or cystectomy is required [ 22 ].…”