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Radical Cystectomy with Ileal Neobladder in a patient with Hemophilia! A case report

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A 38 year old hepatitis C and Hemophilia Type A patient presented with recurrent hematuria since 6 months. Investigations revealed a 5 cm lesion in the lateral wall of the… Click to show full abstract

A 38 year old hepatitis C and Hemophilia Type A patient presented with recurrent hematuria since 6 months. Investigations revealed a 5 cm lesion in the lateral wall of the bladder with perivesical fat stranding. PET CT showed a FDG avid lesion measuring 4 cms in the bladder with non FDG avid Iliac nodes. Bladder preserving protocols were not considered in this patient in view of the need for further adjuvant treatment. Patient underwent a Radical cystectomy with bilateral pelvic lymph node Dissection and Ileal Neo-bladder after optimisation with Factor VIII transfusion and correction of bleeding parameters.

Keywords: case; cystectomy ileal; radical cystectomy; hemophilia; ileal neobladder; patient

Journal Title: Urology Case Reports
Year Published: 2020

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