(4) performed partial cystectomy
for a tumor in a herniated bladder.
At present, surgical resection is the preferred treatment for IMTUB, such as TUR of bladder tumor, partial cystectomy
, and radical cystectomy, among which, TUR minimally invasive, and some postoperative patients required a second operation due to recurrence or other causes.
Treatment of bladder leiomyoma is transurethral resection; however, large tumors can be treated with open partial cystectomy
if the tumor location is appropriate.
In our case, partial cystectomy
was done and followup was done up to 6 months, after which patient was lost for followup.
Using needle aspiration, intraovarian hemorrhage was confirmed and partial cystectomy
Available surgical laparoscopic techniques are ovarian cystectomy, ablative surgery, three-step procedure (laparoscopic drainage, GnRH analogues for 3 months, laparoscopic laser vaporization) and combined technique of excisional and ablative surgery (partial cystectomy
of 80% to 90% of the endometrioma and then vaporization by the C[O.sub.2] laser to the remaining 10-20% of the endometrioma nearby the hilum) (12).
In the peri-operative area, I helped obtain informed consent from surgical patients, transitioned patients to and from the operating room, and observed common urologic surgeries, including laparoscopic prostatectomy, radical nephrectomy, inflatable penile prosthesis placement, cystectomy, partial cystectomy
, percutaneous nephrolithotomy, transurethral resection of bladder tumor, and various other endoscopic procedures.
The role of partial cystectomy
(PC) in elderly patients: Briefly, PC is another bladder preservation methodology which include full-thickness excision of the bladder tissues involved by the tumor together with pelvic lymph node dissection.
The surgical resection therapy entailed transurethral resection (12 patients, 31.6%), total cystectomy (11 patients, 28.9%), radical surgery (5 patients, 13.1%), partial cystectomy
(3 patients, 7.9%), and other surgical resection (2 patients, 5.3%: one underwent diverticulectomy and one underwent unspecific tumour resection).
Diverticulectomy, partial cystectomy
and radical cystectomy with or without intravesical instillations are other modes of treatment.
It is also advocated that, in case of adherence of the cyst wall to the oesophagus or spine, a partial cystectomy
with ablation of the epithelium should be performed, leaving the adherent portion in situ.
There were only two cases with internal iliac artery ligation failure - one was managed by "pelvic packing" with roll gauze removed 48 hours later and the other with partial cystectomy
to control haemorrhage from bladder.