Widespread urothelial tumor treated with bilateral nephroureterectomy, cystectomy, autotransplantation of one kidney and pelvioileocutaneostomy.

ABSTRACT

We report on a man who had recurrent low grade noninvasive bladder tumors for 8 years and an increasing number of such tumors in both renal pelves and ureters for 3 years. Because of steady tumor progression, including obstruction of urine outflow from the right kidney, the tumors and as much urothelium as possible were removed. Right nephroureterectomy was performed initially. A month later left nephroureterectomy, cystectomy, extracorporeal pelvic resection and autotransplantation of the kidney to the pelvic cavity with urinary diversion to the skin using an isolated ileal loop were done. Convalescence was uneventful. Endoscopic examination 4 months postoperatively via the ileal conduit revealed no recurrences. The general condition of the patient after 6 months was excellent.