INVOLVEMENT OF URINARY BLADDER IN LOCALLY ADVANCED NONUROLOGICAL PELVIC MALIGNANCY ROLE OF EN BLOC RESECTION

The urinary bladder is commonly involved in pelvic malignancy. Cancers that adhere to the bladder requires enbloc partial or total cystectomy to achieve negative margins. We report four cases of urinary bladder involvement by locally advanced non urological pelvic malignancy managed by en bloc resection in our department during Jan 2011 to March 2013. En bloc bladder resection was done for 4 patients. In 3cases, the primary tumor was adenocarcinoma of sigmoid colon and one patient had right ovarian malignancy. Three patients were managed with partial cystectomy and one patient was managed by total cystectomy with urinary diversion. One patient died of nonurological complication after a month.