Intermittent self-catheterization and the risk of squamous cell cancer of the bladder: An emerging clinical entity?

Authors

  • Rowan G. Casey Department of Urology, St. Vincent’s University Hospital, Elm Park, Dublin 4, Ireland
  • Ivor M. Cullen Department of Urology, St. Vincent’s University Hospital, Elm Park, Dublin 4, Ireland
  • Tom Crotty Department Pathology, St. Vincent’s University Hospital, Elm Park, Dublin 4, Ireland
  • David M. Quinlan Department of Urology, St. Vincent’s University Hospital, Elm Park, Dublin 4, Ireland

DOI:

https://doi.org/10.5489/cuaj.1162

Abstract

There are only 7 cases reported in the literature of squamous cell
cancer of the bladder in patients performing intermittent selfcatheterization
(ISC). We report on an eighth case, and the first
case described in a patient with a Mitrofanoff continent appendicovesicostomy.
A description of the case and review of the literature
are presented. Risk factors for squamous cell cancer include
recurrent urinary tract infections, keratinising squamous metaplasia
(leukoplakia) and local mucosal trauma from intermittent selfcatheterization.
There is no recognized or validated monitoring
program for patients performing ISC who may also have these
risk factors. Reasonable protocols may include regular urinary
cytology and cystoscopy with random or targeted bladder biopsies.
Squamous cell cancer may present late in this cohort of patients
and is associated with a dismal prognosis.

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How to Cite

Casey, R. G., Cullen, I. M., Crotty, T., & Quinlan, D. M. (2013). Intermittent self-catheterization and the risk of squamous cell cancer of the bladder: An emerging clinical entity?. Canadian Urological Association Journal, 3(5), E51-E54. https://doi.org/10.5489/cuaj.1162

Issue

Vol. 3 No. 5 (2009): CUAJ October

Section

Case Report

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