Tubulovillous adenoma in an Indiana pouch urinary diversion managed by endoscopic resection
Article first published online: 23 AUG 2007
International Journal of Urology
Volume 14, Issue 9, pages 865–866, September 2007
How to Cite
Raman, J. D., Gopalan, A. and Russo, P. (2007), Tubulovillous adenoma in an Indiana pouch urinary diversion managed by endoscopic resection. International Journal of Urology, 14: 865–866. doi: 10.1111/j.1442-2042.2007.01845.x
- Issue published online: 23 AUG 2007
- Article first published online: 23 AUG 2007
- Received 7 March 2007; accepted 21 May 2007.
- colonic polyp;
- urinary diversion
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.