Long-Term Clean Intermittent Catheterization, Chronic Inflammation and Cancer: A Case Report and Review
Journal Title: Open Access Journal of Urology & Nephrology - Year 2017, Vol 2, Issue 1
Abstract
In areas not endemic for schistosomiasis, the development of squamous cell carcinoma of the bladder (bSCC) is commonly associated with long-term indwelling catheterization (LTIC) and its associated bladder inflammation. Today, many patients unable to void use clean intermittent catheterization (CIC), a practice which gained popularity over the last 2-3 decades. Historically, CIC has not been perceived as a potential risk factor for bSCC; yet we believe that for many of the same reasons LTIC creates a hostile inflammatory environment potentially resulting in bSCC, CIC may also lead to bSCC, albeit at a slower pace. Using our interesting case as a starting point, we reviewed LTIC-related inflammatory mechanisms and drew connections between these mechanisms and CIC in an effort to raise awareness of the possible link to bSCC as the number of patients practicing CIC over multiple decades continues to grow.
Authors and Affiliations
Pomajzl AJ
Keywords
Related Articles
- EP ID EP494563
- DOI 10.23880/oajun-16000115
- Views 116
- Downloads 0
Retroperitoneal Lymphangioma with Chyluria
A 37 years old lady presented with blood in urine and weight loss for 3 months. Urine report confirmed chylomicrons and contrast enhanced CT scan revealed a retroperitoneal mass extending from mediastinum to pelvis. MRI...
Residual Urine Measurement in Children with Voiding Disorders: Comparison between Ultrasonographic Bladder Scanning and Catheterization
Postvoid residual urine (PVR) measurement with a bladder scanning portable ultrasonographic device is an easy and non invasive method. Its use has been wide spread in men and women however its accuracy and reliability in...
The Clinical Application of Skin Autofluorescence: An Indicator of Glycemic Control and Diabetic Nephropathy Progression
Diabetic nephropathy has become the leading cause of end-stage renal disease worldwide, which exacerbates under poorly controlled hyperglycemia. However, the current methods in monitoring long-term glycemic control and p...
A Case Report of Emphysematous Pyelonephritis in a Diabetic Patient Complicated with Paraspinal Abscess
Emphysematous pyelonephritis is a rare, life threatening condition where there is severe infection of renal parenchyma causing gas accumulation in the tissue. It is commonly in diabetic and needed to be recognised and tr...
Bladder and Prostate Metastasis from Small Cell Lung Cancer: A Rare Entity
Bladder metastases from lung cancer are extremely rare; in some previously reported cases in with the primitive tumor was a lung adenocarcinoma, the finding of an intact epithelium overlying the bladder tumour was consid...