PTU - Polskie Towarzystwo Urologiczne
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Trigonal cystectomy in the treatment of rhabdomyosarcoma
Article published in Urologia Polska 1979/32/2.


Janusz Pławner, Jerzy Czopik
Instytut Chirurgii ¦l. AM im. L. Waryńskiego
Dyrektor: prof. dr hab. n. med. Cz. Sadliński
Klinika Urologii
Kierownik: prof. dr hab. n. med. J. Zieliński


In a boy aged 17 years the trigonum, prostate and seminal vesicles were excised by the method of Couvelaire because of Sarcoma. The remaining part of the bladder became necrotic which required transplantation of urethers so that the urine flowed into the sigmoid colon. After 5 months metastases appeared. The authors think that it is very difficult to avoid necrosis of the bladder left after trigonal cystectomy.
On the basis of a literaturę survey the authors believe that better results could be obtained if radiotherapy and three-drug chemotherapy, particularly im-portant in prostatic Sarcoma, followed surgery.


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