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Literature DB >> 12767376

Unusual complication after immediate postoperative intravesical mitomycin C instillation.

Jakko A Nieuwenhuijzen¹, Axel Bex, Simon Horenblas.

Abstract

Immediate adjuvant Mitomycin C (MMC) instillation is routine practice in the treatment of superficial bladder cancer. Despite relative safety we describe a case of MMC extravasation after intravesical instillation. This resulted in severe continuous pain in the pelvic region without tendency of spontaneous healing, and required surgical debridement. To assess perivesical soft tissue injury prior to surgery MRI imaging turned out to be more accurate than computer tomography. Suggestions about how to avoid, diagnose and treat this symptomatic extravasation are made.

Entities: Chemical Disease

Mesh：

Substances：

Year: 2003 PMID： 12767376 DOI： 10.1016/s0302-2838(03)00151-9

Source DB: PubMed Journal: Eur Urol ISSN： 0302-2838 Impact factor: 20.096

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Cited

11 in total

1. Canadian guidelines for treatment of non-muscle invasive bladder cancer: a focus on intravesical therapy.

Authors: Wassim Kassouf; Ashish M Kamat; Alexander Zlotta; Bernard H Bochner; Ronald Moore; Alan So; Jonathan Izawa; Ricardo A Rendon; Louis Lacombe; Armen G Aprikian
Journal: Can Urol Assoc J Date: 2010-06 Impact factor: 1.862

2. CUA guidelines on the management of non-muscle invasive bladder cancer.

Authors: Wassim Kassouf; Samer L Traboulsi; Girish S Kulkarni; Rodney H Breau; Alexandre Zlotta; Andrew Fairey; Alan So; Louis Lacombe; Ricardo Rendon; Armen G Aprikian; D Robert Siemens; Jonathan I Izawa; Peter Black
Journal: Can Urol Assoc J Date: 2015-10-13 Impact factor: 1.862

3. Bladder perforation after immediate postoperative intravesical instillation of mitomycin C.

Authors: Darwin Lim; Jonathan I Izawa; Paul Middlebrook; Joseph L Chin
Journal: Can Urol Assoc J Date: 2010-02 Impact factor: 1.862

4. Overnight continuous saline irrigation after transurethral resection for non-muscle-invasive bladder cancer is helpful in prevention of early recurrence.

Authors: Jungmo Do; Sin Woo Lee; Seong Uk Jeh; Jeong Seok Hwa; Jae Seog Hyun; See Min Choi
Journal: Can Urol Assoc J Date: 2018-06-08 Impact factor: 1.862

5. Meta-analysis of efficacy and safety of continuous saline bladder irrigation compared with intravesical chemotherapy after transurethral resection of bladder tumors.

Authors: Zhongbao Zhou; Shikai Zhao; Youyi Lu; Jitao Wu; Yongwei Li; Zhenli Gao; Diandong Yang; Yuanshan Cui
Journal: World J Urol Date: 2019-01-05 Impact factor: 4.226

Unusual complication after immediate postoperative intravesical mitomycin C instillation.

1. Canadian guidelines for treatment of non-muscle invasive bladder cancer: a focus on intravesical therapy.

2. CUA guidelines on the management of non-muscle invasive bladder cancer.

3. Bladder perforation after immediate postoperative intravesical instillation of mitomycin C.

4. Overnight continuous saline irrigation after transurethral resection for non-muscle-invasive bladder cancer is helpful in prevention of early recurrence.

5. Meta-analysis of efficacy and safety of continuous saline bladder irrigation compared with intravesical chemotherapy after transurethral resection of bladder tumors.

6. [Superficial bladder cancer: Transurethral resection and instillation therapy].

7. Update on the management of non-muscle invasive bladder cancer.

8. Hepatic sinusoidal obstruction syndrome secondary to intravesical instillation of mitomycin-C.

9. Complications associated with single-dose, perioperative mitomycin-C for patients undergoing bladder tumor resection.

Review 10. Approaches to Non-Muscle-Invasive Bladder Cancer.