Tubulovillous adenoma in an Indiana pouch urinary diversion managed by endoscopic resection Journal Article


Authors: Raman, J. D.; Gopalan, A.; Russo, P.
Article Title: Tubulovillous adenoma in an Indiana pouch urinary diversion managed by endoscopic resection
Abstract: We present a case of a tubulovillous adenoma in an Indiana pouch managed by endoscopic resection. A 66-year-old male underwent a cystectomy with creation of an Indiana pouch urinary diversion for invasive small cell carcinoma of the bladder. Seven years following his initial surgery, the patient noted several episodes of gross hematuria. The evaluation revealed a 2.5 cm tubulovillous adenoma with high-grade dysplasia within the Indiana pouch. The patient had significant comorbidities precluding an open operative procedure. He underwent en endoscopic resection of the tumor, and subsequently has been managed with surveillance pouchoscopy, biopsies, and fulguration every 3 months. © 2007 The Japanese Urological Association.
Keywords: aged; case report; hematuria; cystectomy; urinary diversion; endoscopic surgery; urinary reservoirs, continent; comorbidity; bladder carcinoma; endoscopy; keratin; cauterization; colonic polyp; villous adenoma; adenoma, villous
Journal Title: International Journal of Urology
Volume: 14
Issue: 9
ISSN: 0919-8172
Publisher: Wiley Blackwell  
Date Published: 2007-09-01
Start Page: 865
End Page: 866
Language: English
DOI: 10.1111/j.1442-2042.2007.01845.x
PUBMED: 17760759
PROVIDER: scopus
DOI/URL:
Notes: --- - "Export Date: 17 November 2011" - "CODEN: IJURF" - "Source: Scopus"
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  1. Paul Russo
    581 Russo
  2. Anuradha Gopalan
    416 Gopalan