Two hemodialysis patients complicated with huge hydronephrosis after total cystectomy for the treatment of bladder carcinoma

Yoko Inaba; Hirotake Yamamoto; Masayuki Hisakawa; Kumi Yamada; Katsuhiro Sawada; Gaku Kawabata; Isao Hara; Sadao Kamidono

doi:10.4009/jsdt.38.1603

Yoko Inaba, Hirotake Yamamoto, Masayuki Hisakawa, Kumi Yamada, Katsuhiro Sawada, Gaku Kawabata, Isao Hara, Sadao Kamidono

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JOURNAL FREE ACCESS

2005 Volume 38 Issue 9 Pages 1603-1606

DOI https://doi.org/10.4009/jsdt.38.1603

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Abstract

We report two hemodialysis patients who required treatment for hydronephrosis after total cystectomy. Case 1 complained of left lumbago due to huge hydronephrosis 10 months postoperatively. Percutaneous needle drainage under ultrasonography was performed. The drained urine was bloody but negative for cytology. Case 2 had residual tumor in the left upper urinary tract. One month postoperatively, he complained of severe left lumbago probably due to hemorrhage from the residual tumor, which required nephrectomy. These two cases imply the importance, of the indication of total cyctectomy with bilateral nephro-ureterectomy and of periodical check up for upper urinary tract after cystectomy, in hemodialysis patients.

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