Bladder cancer in pregnancy

Abstract

fistula. During the repair, we felt that the tissues were easily dissectible, in comparison with our previous experience of fistula repairs. The reason for that could be attributed to the hormonal changes in pregnancy. A vesico-uterine fistula was reported antenatally by Kennedy et al. (1999) where a classical caesarean section was performed at 26 weeks together with excision of the fistulous tract. In our case the repair of the vesico-vaginal fistula was performed at 8 weeks followed by an uneventful pregnancy. The patient was delivered by lower-segment caesarean section at 38 weeks.In a recent review from Nigeria, the average time to presentation was more than 5 years and this may be determined by inadequate access to health care. The time from symptoms to presentation of our patient was 3 years and was identified during a teaching visit of the author to Yemen.The cure rates (closure from the first attempt) of the vesicovaginal fistulae vary from 60 -98% (Hilton, 1997; Clement and Hilton, 2001). In our case the patient experienced full continence after removal of the catheter. It would be interesting to know whether the cure rate in pregnancy is better. ConclusionVesico-vaginal fistula can be repaired successfully in pregnancy. Furthermore, this repair could prevent the potential risk of miscarriage. Further research is needed to find out if repairing fistulae in pregnancy is associated with better outcome.

Bladder cancer in the second trimester of pregnancy: tough decisions. A case report with review of the literature

“…In these women, delayed presentation is common because urinary symptoms in pregnancy are often ignored and haematuria mistaken for vaginal bleeding. Thus, examination is often performed to exclude placenta praevia, abruptio placentae or retained products following abortion or miscarriage [Mitra et al 2003]. When recognized as haematuria, complete evaluation should be conducted and bladder cancer considered in the differential diagnosis.…”

“…The most common tumour in pregnancy is a malignant melanoma, followed by cancer of the cervix and breast [Mitra et al 2003]. A literature review failed to find any evidence that pregnancy has deleterious effects on the incidence or clinical course of malignancy compared with that in nonpregnant women of reproductive age, except in the case of malignant melanoma [Mitra et al 2003].…”

Inflammatory myofibroblastic tumor of the urinary bladder during pregnancy: A case report

“…Additionally, pathological results may also be obtained by cystoscopy. Furthermore, cystoscopy does not cause harm to the patient or fetus (4). The most common method of treatment for IMT of bladder is partial cystectomy of the bladder or transurethral resection of the tumor, which prevents local recurrence (19).…”

“…To date, only 30 cases of IMT have been reported in China, and only 150 cases have been reported worldwide (3). The occurrence of bladder cancer during pregnancy is rare, with an incidence rate of 0.235% (4,5) and IMT of the urinary bladder during pregnancy is even more rare. Radical resection is the treatment of choice for patients with IMT in this region, to prevent local recurrence (6).…”

A Rare Bladder Tumor in a Young Pregnant Woman: Case Report

“…4 Most common tumor in pregnancy is malign melanoma, followed by cancer of cervix and breast. 5 In a single review on bladder tumors associated with pregnancy, 27 patients were analyzed and muscle invasion was detected in only 5 of these patients. Transitional cell carcinoma (TCC) was found in 74% of the cases in pathologic examination.…”