Carcinoma of the urinary bladder in Jamaica

ABSTRACT

Seven cases of benign papilloma and 25 cases of carcinoma of the urinary bladder seen in the University College Hospital of the West Indies between 1953 and 1960 are reviewed. Benign papilloma of the urinary bladder is relatively uncommon in Jamaica. A high incidence of squamous cell carcinoma situated away from the base of the bladder, and often associated with stricture of the urethra is noted. Early diagnosis of these lesions should be possible with consequent improvement in the length of survival after radical surgery. The use of a rectal bladder (with a perineal colostomy) is suggested as a substitute for the excised bladder. In hospital practice, this operation has certain advantages over either the use of the intact rectum as a receptacle for the urine or of an isolated ileal loop as a urinary conduit