Radical Cystoprostatectomy for bladder tumor

A 60 year old man came to us with hematuria and lower urinary tract symptoms.On evaluation ultrasound revealed a space occupying lesion in bladder which was further evaluated with contrast enhanced CT scan.The CT scan showed huge bladder mass filling the almost bladder with left posterior and lateral wall thickening and the perivesical stranding.There were no obvious lymphadenopathy.

His metastatic work up was normal.He had no comorbidities except diabetes.He was taken up for Trans-urethral Bladder Biopsy which revealed Papillary Urothelial Neoplasm of Low Malignant Potential .As the growth was endoscopically unresectable there was high chance of muscle invasive element;the patient was counselled and taken up for Radical cystectomy and bilateral iliac lympahdenectomy and ileal conduit.The uretero-ileal anastomosis was done with Wallace technique.