Vol. 45 (x): 2019 July 7.[Ahead of print]

doi: 10.1590/S1677-5538.IBJU.2018.0839


Kevin Heinsimer 1, Lucas Wiegand 2
1 USF Health Morsani College of Medicine-Urology,Tampa General Circle, Tampa, Florida, United States; 2 University of South Florida-Urology, Tampa General Circle, Tampa, Florida, United States


Artifi cial Urinary Sphincter (AUS) is a common treatment for stress urinary incontinence, especially in patients treated for prostate cancer. A small number of patients with an AUS will subsequently develop bladder cancer. These patients are especially hard to manage due to risk of cuff erosion with transurethral interventions. We present a case of an 81-yearold male, with history of prostatectomy and AUS placement, found to have a 2.5cm bladder tumor. He underwent transurethral resection of bladder tumor (TURBT) through a 5cm AUS cuff using a 16.5Fr fl exible cystoscope and 3fr bugbee monopolar electrode. The tumor was able to be resected en-bloc. The patient’s cuff was deactivated prior to TURBT and reactivated 72hr post-operatively. The patient experienced no complications or compromises from an oncologic or incontinence standpoint. Final pathology was spindle cell carcinoma without muscle invasion.


Available at: https://www.intbrazjurol.com.br/video-section/20180839_Heinsimer_et_al

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