Volume 17, Number 4Case ReviewEffectiveness of Antegrade Access in Bladder Tumors With Inaccessible UrethraAbdul Rouf KhawajaTanveer Iqbal DarSajad MaikJavaid MagrayAshiq BhatArif Hameed BhatMohdSaleem WaniBaldev Singh WazirInaccessible urethra with no retrograde endoscopic access due to multiple/diffuse strictures or multiple urethrocutaneous fistulas with acute urinary retention due to posturethral instrumentation (transurethral resection of bladder tumor [TURBT], or TURBT with transurethral resection of the prostate [TURP]), is a rare entity. Management of such a case with a bladder tumor for TURBT/surveillance cystoscopy poses a great challenge. The authors present 12 cases of bladder tumor with inaccessible urethra, 10 cases due to multiple strictures (post-TURBT and/or TURP), and 2 cases due to urethrocutaneous fistulas (post-TURBT), who presented to our emergency department with acute urinary retention. Emergent suprapubic catheterization was used as a temporary treatment method. [Rev Urol. 2015;17(4):241-245 doi: 10.3909/riu0677] © 2016 MedReviews®, LLCBladder tumorsSuprapubic cystostomyInaccessible urethraTract seedling
Volume 19, Number 1Case ReviewPerineal Urethrostomy: Still Essential in the Armamentarium for Transurethral SurgeryDimitri PapagiannopoulosLeslie A DeaneA 69-year-old morbidly obese man presented with hematuria caused by a large anterior wall bladder tumor. The mass was inaccessible for resection by standard means due to the patient’s obesity and phallic length. A perineal urethrostomy was required to enable complete resection. This age-old technique is revisited for the benefit of this generation’s urologists. [Rev Urol. 2017;19(1):72-75 doi: 10.3909/riu0742] © 2017 MedReviews®, LLCBladder tumorsTransurethral resectionPerineal urethrostomy