Nihon Hinyokika Gakkai zasshi. The japanese journal of urology最新文献

{"title":"[A CASE OF SEVERE DRUG INDUCED ERUPTION AFTER APALUTAMIDE USE FOR METASTATIC HORMONE-SENSITIVE PROSTATE CANCER, WHICH WAS DETERIORATED FROM TEMPORARY REMISSION AFTER DRUG WITHDRAWAL].","authors":"Baku Iijima, Teruo Inamoto, Hirofumi Uehara, Kazumasa Komura, Haruhito Azuma","doi":"10.5980/jpnjurol.115.47","DOIUrl":"10.5980/jpnjurol.115.47","url":null,"abstract":"<p><p>A 70-years-old man with metastatic hormone-sensitive prostate cancer received the apalutamide, an oral androgen receptor signaling inhibitor. On day10 after drug initiation, fever and skin rash appeared on his whole-body surface. He stopped taking the drug on day18 and skin symptoms temporarily improved about 7 days after discontinuation. However, on day 38, symptoms recurred, and the patient was admitted to the hospital as an emergency due to suspicion of Stevens-Johnson syndrome. Steroid pulse therapy was administered, and gradual improvement of the skin lesions was observed. With the widespread use of apalutamide in daily clinical settings, severe drug eruptions such as the present case may potentially increase, and further additive experiences are awaited.</p>","PeriodicalId":101330,"journal":{"name":"Nihon Hinyokika Gakkai zasshi. The japanese journal of urology","volume":"115 1","pages":"47-51"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143019584","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[A CASE OF CARCINOSARCOMA OF THE RETROPERITONEUM: A CASE REPORT].","authors":"Yu Ito, Kohei Hashimoto, Tetsuya Shindo, Ko Kobayashi, Toshiaki Tanaka, Naoya Masumori","doi":"10.5980/jpnjurol.115.94","DOIUrl":"https://doi.org/10.5980/jpnjurol.115.94","url":null,"abstract":"<p><p>We present a case of retroperitoneal carcinosarcoma. A 48-year-old woman with left-sided abdominal pain and a 15 cm tumor in the lower left renal retroperitoneal region on computed tomography (CT) was referred to our hospital. Contrast-enhanced CT showed a well-defined tumor with contrast effect on the retroperitoneum. Magnetic resonance imaging (MRI) demonstrated a heterogeneous cystic mass and well-enhanced mural nodules in the tumor on T2-weighted images. Her levels of serum CA-125 and CA-19-9 were high at 44.7 and 143.0 U/mL, respectively. Although she was diagnosed with primary retroperitoneal mucinous cystadenocarcinoma and underwent surgical resection, the pathological diagnosis was a carcinosarcoma on the retroperitoneum. No adjuvant therapy was given. CT findings at 2 months revealed local recurrence and multiple pulmonary metastases. She received paclitaxel (175 mg/m² on day 1) and carboplatin (area under the curve of 6 on day 1) (TC) every 3 weeks. After two courses of TC therapy, some pulmonary metastases disappeared and shrank, but the progression of local recurrence was observed. However, after seven total courses of TC therapy, local recurrence further progressed, with the infiltration of the abdominal wall and lumbar pain, which was determined to be progressive disease (PD). A comprehensive genomic profiling test revealed no actionable genetic mutations. She died of cancer five months after the disease recurred. Carcinosarcoma is a rare tumor with poor prognosis, for which no established treatment exists beyond surgical resection. In this case, the therapeutic agent could not be determined; however, genomic analysis should be performed to guide the treatment of carcinosarcoma in advanced cases.</p>","PeriodicalId":101330,"journal":{"name":"Nihon Hinyokika Gakkai zasshi. The japanese journal of urology","volume":"115 2","pages":"94-98"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144003306","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[PREOPERATIVE SEVERE HYDRONEPHROSIS IN RENAL PELVIC-URETERAL CANCER PREDICTS POSTOPERATIVE INTRAVESICAL RECURRENCE].","authors":"Kana Ito, Ryo Yamashita, Yuma Sakura, Hideo Shinsaka, Masafumi Nakamura, Masato Matsuzaki, Masashi Niwakawa, Akifumi Notsu","doi":"10.5980/jpnjurol.115.109","DOIUrl":"https://doi.org/10.5980/jpnjurol.115.109","url":null,"abstract":"<p><p>(Objective) We examined if the degree of preoperative hydronephrosis influences the occurrence of postoperative intravesical recurrence (IVR) in patients with upper tract urothelial cancer (UTUC). (Material and method) From January 2010 to March 2022, a total of 237 patients underwent total nephroureterectomy and partial cystectomy for UTUC at our hospital. For this study, 169 patients were selected after excluding 57 patients with a history of bladder cancer, 10 patients who received postoperative intravesical anticancer drug injection and 1 patient with inadequate data. Cases with Society for Fetal Urology (SFU) Grade 2 or higher (renal pelvis and several calyces observed) on preoperative computed tomography were considered to have hydronephrosis. Multivariate analysis was performed by selecting four known risk factors: tumor localization (ureter tumor), positive preoperative urine cytology, multiple upper tract ureteral carcinomas, and carcinoma in situ of UTUC. (Result) There were 120 male patients (71.0%) and 49 female patients (29.0%), with a median age of 71 years. The median observation period was 43 months. IVR was observed in 46 patients (27.2%) after surgery; 82 patients (49.1%) had SFU Grade 2 or higher (preoperative hydronephrosis) and 25 had SFU Grade 4 (dilatation of the renal pelvis and calyces and thinning of the renal parenchyma). There was a correlation between SFU Grade progression and an increase in IVR rate. Compared with patients without hydronephrosis, the presence of SFU Grade 4 hydronephrosis was found to be an independent associate factor after adjusting for known risk factors in multivariate analysis (p=0.02, hazard ratio 3.02, 95% confidence interval 1.18-7.75). (Conclusion) Patients with preoperative SFU Grade 4 hydronephrosis are more likely to have IVR. Postoperative intravesical anticancer drug injections and more frequent cystoscopies may be beneficial for these patients.</p>","PeriodicalId":101330,"journal":{"name":"Nihon Hinyokika Gakkai zasshi. The japanese journal of urology","volume":"115 3","pages":"109-115"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144683976","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[LAPAROSCOPIC SINGLE-SITE SURGERY FOR URACHAL REMNANT USING THE GLOVE PORT].","authors":"Zenkichi Sekiguchi, Kazunobu Shinoda, Kaori Matsumura, Yoshitugu Sato, Wataru Usuba, Eiji Kikuchi","doi":"10.5980/jpnjurol.115.72","DOIUrl":"https://doi.org/10.5980/jpnjurol.115.72","url":null,"abstract":"<p><p>(Objectives) Trans-umbilical laparo-endoscopic single-site surgery for a urachal remnant (LESSU) enables an aesthetically outcome as the scar is concealed within the umbilical fold. We performed trans-umbilical LESSU using the glove port to minimize interference between surgical instruments and evaluated its efficacy. (Materials and methods) LESSU was performed by a single surgeon in our institute in 13 patients between August 2020 and April 2023. GelPOINT Mini™ (Applied Medical Corporation) or Free access XS (TOP^® Corporation) were used in the first two cases, followed by the glove port method from the third case onward. We retrospectively collected clinical data by using medical records. (Results) Five males and six females, with a median age of 33 years (23-74 years), underwent surgery with the glove method. The median operating time was 126 minutes (84-153 minutes), and minimal blood loss was observed in all cases. Perioperative complications occurred in one case (forcal peritonitis, Clavien-Dindo II). The median postoperative hospital stay was 3 days (2-5 days). Fixation using a rubber band attached to a camera port from the fifth case onwards, contributed to reduced average operating time. The surgical cost of surgery using the glove method was lower than using standard surgical platforms for single-port surgery. (Conclusion) LESSU using the glove method has several benefits such as offering better flexibility of each surgical instrument, better surgical imaging near the umbilicus, and treatment at a lower surgical cost.</p>","PeriodicalId":101330,"journal":{"name":"Nihon Hinyokika Gakkai zasshi. The japanese journal of urology","volume":"115 2","pages":"72-79"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144053915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[ROBOT-ASSISTED SURGERY FOR PERI-SEMINAL VESICLE SCHWANNOMA: A CASE REPORT].","authors":"Shuto Konta, Ko Kobayashi, Kohei Hashimoto, Toshiaki Tanaka, Tadashi Hasegawa, Naoya Masumori","doi":"10.5980/jpnjurol.115.99","DOIUrl":"https://doi.org/10.5980/jpnjurol.115.99","url":null,"abstract":"<p><p>A 70-year-old man was referred to our institution because of a left seminal vesicle tumor revealed by computed tomography (CT) for postoperative follow-up of malignant melanoma. The prostate-specific antigen level (1.03 ng/mL) was not elevated. We performed transrectal ultrasound-guided seminal biopsy, and the pathological diagnosis was schwannoma. We decided to do follow-up because it was a benign tumor. However, the maximum diameter of the tumor increased over time from 21 mm to 47 mm during 7 years of follow-up. Since malignant potential could not be denied by image diagnosis, we decided to resect the tumor radically. The patient received robot-assisted laparoscopic left seminal vesicle resection. The pathological diagnosis was schwannoma with no malignant features. In such cases, robot-assisted surgery has great advantages in terms of expansion of the operative field and understanding of the three-dimensional structure.</p>","PeriodicalId":101330,"journal":{"name":"Nihon Hinyokika Gakkai zasshi. The japanese journal of urology","volume":"115 2","pages":"99-103"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144061406","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[A CASE OF LEFT SPINAL ERECTOR SPINAE COMPARTMENT SYNDROME AFTER RETROPERITONEOSCOPIC RIGHT NEPHRECTOMY FOR WHICH DECOMPRESSIVE FASCIOTOMY WAS EFFECTIVE].","authors":"Shinnosuke Oishi, Keisuke Sasaki, Koichiro Kanazawa, Akihiko Sakamoto, Kuniaki Tanabe, Kazutaka Sugiyama, Akihiko Matsumoto, Isaku Saku, Haruki Kume","doi":"10.5980/jpnjurol.115.42","DOIUrl":"10.5980/jpnjurol.115.42","url":null,"abstract":"<p><p>The patient was a male in his 60s who underwent a retroperitoneoscopic right nephrectomy for a diagnosis of right renal cell carcinoma (cT3aN0M0). During surgery, the patient was positioned in the left lateral recumbent, jackknife position. A blood test of the day after surgery showed an abnormally high CK level of 23,038 U/L. However, because his only symptom was mild pain in the left lower back, the patient was placed under follow-up observation. Two days postoperatively, the patient had worsening left lumbago, swelling, stiffness, and paresthesias in the left lumbar region. A simple CT scan showed internal hypo-absorption and increased volume of the left erector spinae muscle. With a diagnosis of left erector spinae compartment syndrome, the patient underwent an emergency decompressive fasciotomy by an orthopedic surgeon. The patient's postoperative course was uneventful with no sequelae, and he was discharged on postoperative day 22.In this case, the increased pressure on the lumbar region due to the cushion inserted into the lumbar flexion to reinforce the jackknife position was thought to have contributed significantly to the development of erector spinae compartment syndrome.Although erector spinae compartment syndrome is very rare after lateral recumbency surgery, taking thorough precautions is necessary, including the decompression of as much pressure as possible in the preoperative position and appropriate intraoperative blood pressure control, and to deal with it promptly, including fasciotomy in case of postoperative low back pain that coincides with the surface of the operating table.</p>","PeriodicalId":101330,"journal":{"name":"Nihon Hinyokika Gakkai zasshi. The japanese journal of urology","volume":"115 1","pages":"42-46"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143019583","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[AUGMENTED ONLAY BUCCAL MUCOSAL GRAFT URETEROPLASTY FOR URETERAL STRICTURE: A CASE REPORT].","authors":"Shun Iwasa, Hiroshi Asanuma, Ryohei Takahashi, Keishiro Fukumoto, Yota Yasumizu, Nobuyuki Tanaka, Toshikazu Takeda, Kazuhiro Matsumoto, Shinya Morita, Takeo Kosaka, Ryuichi Mizuno, Mototsugu Oya","doi":"10.5980/jpnjurol.115.37","DOIUrl":"10.5980/jpnjurol.115.37","url":null,"abstract":"<p><p>A 14-year-old boy developed hydronephrosis and worsening renal function due to fibroepithelial polyps of the bladder and left ureter at the age of 12 years. The endoscopic treatment of ureteral polyps was attempted by his previous doctor; however urethral stricture and ureteral stricture developed and was untreatable. Therefore, he was referred to our hospital for further reconstructive treatment. He underwent Palminteri urethroplasty with penile skin graft for urethral stricture at the age of 13 years, followed by ureteroplasty at the age of 14 years. The stenotic ureter was minimally resected, with only complete obstruction and residual polyps, and augmented onlay ureteroplasty with a buccal mucosa graft was performed. Nephrostomy was removed 13 days after surgery, followed by the ureteral stent 4 months after surgery. Retrograde pyelography and ureteroscopy were performed 1 year and 2 years postoperatively, and neither recurrent strictures nor polyps were observed. The patient is doing well 3 years postoperatively.</p>","PeriodicalId":101330,"journal":{"name":"Nihon Hinyokika Gakkai zasshi. The japanese journal of urology","volume":"115 1","pages":"37-41"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143019588","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[COMPARISON BETWEEN THE EFFECT OF TRANSVAGINAL MESH SURGERY USING ORIHIME^® MESH AND LAPAROSCOPIC SACROCOLPOPEXY AT 1 YEAR POSTOPERATIVELY -TVM HAS A FAVORABLE POSTOPERATIVE COURSE COMPARED TO LSC IN PATIENTS WITH POP SCORED ≤ STAGE 3].","authors":"Kenji Kuroda, Koetsu Hamamoto, Kazuki Kawamura, Akio Horiguchi, Keiichi Ito","doi":"10.5980/jpnjurol.115.53","DOIUrl":"https://doi.org/10.5980/jpnjurol.115.53","url":null,"abstract":"<p><p>(Introduction) Patients with severe pelvic organ prolapse (POP) are currently being treated with robot-assisted or laparoscopic sacrocolpopexy (LSC). LSC is recognized as being more secure and more effective than transvaginal mesh surgery (TVM). However, favorable postoperative outcomes occur even in patients treated with TVM using ORIHIME^® mesh. We compared the differences in postoperative outcomes and complication rates between patients who underwent either of these two methods using ORIHIME^® mesh. (Material and methods) We retrospectively evaluated 95 patients with POP. In our hospital, 41 patients were treated by LSC, whereas 54 were treated by TVM. We measured the changes in symptoms before and after surgery using the IPSS, OABSS, and ICIQ-SF, and 1-h pad weight testing and complication rates. (Result) Between 3 and 12 months following surgery, both groups' residual urine volume and IPSS plus QOL score significantly decreased. The pad test results revealed a significant decrease 3 months after surgery in the TVM group. From 3 to 12 months after surgery in the TVM group for all patients and patients with POP scored ≤ stage 3, and at 12 months after surgery in the LSC group for all patients, OABSS and ICIQ-SF scores declined significantly. There were no statistically significant differences in the rate of urinary incontinence, mesh exposure after surgery between the two groups. The rate of prolapse recurrence in the TVM group was as low as in the LSC group among patients with stage 2 or 3 POP. (Conclusion) TVM using ORIHIME^® mesh has a favorable postoperative course compared to LSC at 1 year postoperatively. TVM surgery should be preferentially considered for patients scored ≤ stage 3 POP-Q.</p>","PeriodicalId":101330,"journal":{"name":"Nihon Hinyokika Gakkai zasshi. The japanese journal of urology","volume":"115 2","pages":"53-63"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056287","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[EARLY OUTCOMES OF REFRACTORY OVERACTIVE BLADDER TREATED WITH BOTULINUM TOXIN IN A FEMALE UROLOGY CLINIC].","authors":"Kumiko Kato, Takashi Kato, Aika Matsuyama, Hiroki Sai, Satoshi Inoue, Hiroki Hirabayashi, Shoji Suzuki, Hidemori Araki, Masahiro Narushima","doi":"10.5980/jpnjurol.115.64","DOIUrl":"https://doi.org/10.5980/jpnjurol.115.64","url":null,"abstract":"<p><p>(Purpose) To evaluate the safety and efficacy of outpatient procedures using botulinum toxin (BTX) for patients with intractable overactive bladder (OAB) in a Female Urology Clinic. (Methods) Medical charts of female patients who underwent outpatient BTX procedures for intractable OAB were retrospectively reviewed between 2020 and 2022. In addition to uroflowmetry and residual urine measurement, OAB symptoms score (OABSS), international prostate symptom score (IPSS), and patient global impression of improvement (PGI-I) were evaluated preoperatively and postoperatively at 2, 6, 12, and 24 weeks. (Results) Forty-one patients underwent a total of 50 BTX procedures during the above period (1 procedure: 34 patients, 2 procedures: 5 patients, 3 procedures: 2 patients). The average age was 72.4±7.6 (50-86), and 9 (22.0%) and 3 (12.2%) patients had a history of surgeries for pelvic organ prolapse and stress urinary incontinence, respectively. Two patients (4.9%) developed temporal urinary retention which was managed with clean self-intermittent catheterization. Symptomatic urinary tract infection occurred in 3 patients (7.3%). The average maximum flow rate showed a small but significant decrease, and the average residual urine significantly increased from preoperative 41.4 ml to 103.4 ml (week 2), 88.5 ml (week 6), 72.4 ml (week 12), and 60.3 ml (week 24). However, IPSS-voiding symptom score did not show significant differences at week 2-24. OABSS-Q1 (daytime frequency) did not show significant improvement at any point, and OABSS-Q2 (nocturnal frequency) showed significant improvement at week 2 and 6. OABSS-Q3 (urinary urgency), OABSS-Q4 (urgency urinary incontinence), OABSS total score, IPSS-Q4 (urinary urgency), IPSS-storage symptom score, and IPSS-QOL all showed significant improvement at week 2-24. PGI-I showed the highest improvement rates at week 2 (marked improvement 63.4%, improvement 92.7%), and this improvement was sustained at week 12 (marked improvement 43.6%, improvement 84.6%). Most patients did not choose to have additional therapy until 24 weeks to over one year had passed. Furthermore, 12 patients (29.3%) chose to have a second BTX procedure. (Conclusion) In Female Urology Clinics, there are many patients suffering from refractory OAB including those after surgeries for pelvic organ prolapse and stress urinary incontinence. As urinary retention is less frequently caused by BTX and its efficacy is more evident among female patients, BTX procedures could be anticipated as an outpatient treatment option in Female Urology.</p>","PeriodicalId":101330,"journal":{"name":"Nihon Hinyokika Gakkai zasshi. The japanese journal of urology","volume":"115 2","pages":"64-71"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144035023","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[A CASE OF PELVIC AND INGUINAL LYMPH NODE RECURRENCE OF PENILE CANCER FOR WHICH TIP (PACLITAXEL, IFOSFAMIDE, CISPLATIN) THERAPY WAS EFFECTIVE].","authors":"Noriaki Noto, Reona Matsumoto, Jyun Asano, Taku Mochizuki, Nobuhiko Mizuno, Kimio Chiba","doi":"10.5980/jpnjurol.115.80","DOIUrl":"https://doi.org/10.5980/jpnjurol.115.80","url":null,"abstract":"<p><p>The patient in this case is a 67-year-old male. The previous physician examined the patient due to the primary complaint of ulcers on the penis, and the patient was diagnosed with squamous cell carcinoma (cT1N0M0). Our clinic performed a penectomy.Since vascular invasion was negative, a lymphadenectomy was not performed, and the patient was subsequently observed. However, four months after the surgery, we confirmed that the cancer had metastasized to the left inguinal lymph node and the left external iliac lymph node.The patient completed the fourth cycle of the TIP treatment before we performed an inguinal pelvic lymphadenectomy, and the patient succeeded in complete remission.Presently, two years and five months after the lymphadenectomy, no recurrence was found.</p>","PeriodicalId":101330,"journal":{"name":"Nihon Hinyokika Gakkai zasshi. The japanese journal of urology","volume":"115 2","pages":"80-84"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144048857","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}