Urinary Tract Involvement in Colorectal Cancer: Four-year Experience at the Philippine General Hospital

Urinary Tract Involvement in Colorectal Cancer: Four-year Experience at the Philippine General Hospital
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Title:Urinary Tract Involvement in Colorectal Cancer: Four-year Experience at the Philippine General Hospital
Author/Abstract:Marie Carmela M. Lapitan, MD1,2, Ana Melissa Hivano-Cabungcal, MD2

1National Institutes of Health-Manila and 2 Division of Urology, Department of Surgery, Philippine General Hospital, University of the Philippines Manila


Objective: To describe the cases of colorectal cancer with urinary tract involvement at the Philippine General Hospital in terms of preoperative evaluation, intraoperative findings, surgical management and the immediate postoperative outcome. Materials and Methods: This is a retrospective descriptive study of all patients with histologically proven colorectal cancer found to have involvement of the urinary tract intraoperatively, at the Philippine General Hospital from June 2003 to May 2007. Results: Most patients with colorectal cancer with urinary tract involvement were males (68%) in the middle adult age group, presenting with no urinary symptoms, but with evidence of urinary tract involvement on preoperative imaging studies or cystoscopic findings. Majority were managed with excision of the tumor with enbloc resection of the involved urinary tract organ. The over all morbidity rate was 20% and the mortality rate was 1.3%. Conclusion: Colorectal cancer with urinary tract involvement presents as a unique challenge to any surgical team. A practicing urologist must acquire the necessary knowledge and skills on the preoperative diagnosis and surgical management of these complex cases.

Key words: colorectal cancer, urinary tract
Filesize: 90.61 kB
Filetype:pdf (Mime Type: application/pdf)