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Success Story | Muscle Invasive Bladder Carcinoma

Ms. Kanta Devi's suffering was unexplainable. At Ayu Health Hospital Dr. Gaurav Sharma, a Urologist & Andrologist diagnosed her condition as Muscle Invasive Bladder Carcinoma (MIBC) and performed the surgery with great success. A 56 years old Kanta Devi was suffering from blood and clots in urine for 6 months. Ultrasonography was done and we found a large bladder tumor of more than 5 cm with right Hydroureteronephrosis (HDUN) and Left atrophic kidney. Her serum creatinine was 4.5 mg/dl. Resection of bladder tumor was done and a sample was sent for histopathology which revealed poorly differentiated muscle-invasive urothelial carcinoma with squamous cell component. After extensive workup, we diagnosed her with muscle Invasive Bladder Carcinoma (MIBC) [T3b N3 M0 ] with Right Hydroureteronephrosis with Chronic Kidney Disease and a non-functioning Left Kidney. She underwent multiple attempts of Right Percutaneous Nephrolithotomy insertion but eventually, there was misplaced nephrostomy due to poor nephrostomy care. Our team of Specialists discussed the case in the tumor board and decided to treat her with Radical Cystectomy with Anterior Pelvic Exenteration with Right Cutaneous Ureterostomy. The surgery went well and in her postoperative period, the patient is doing well and taking care of her Ureterostomy by herself. Her urine output and serum creatinine and gradually came close to the normal range.