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Case Reports
. 2022 Apr-Jun;26(2):e2021.00095.
doi: 10.4293/JSLS.2021.00095.

Incidental Bladder Cancer at the Time of Routine Cystoscopy following Laparoscopic Hysterectomy

Wenjia Zhang  1 , Megan Loring  2
Affiliations
Case Reports

Incidental Bladder Cancer at the Time of Routine Cystoscopy following Laparoscopic Hysterectomy

Wenjia Zhang et al. JSLS. 2022 Apr-Jun.

Abstract

Three patients with abnormal uterine bleeding underwent uncomplicated minimally invasive total hysterectomy with routine cystoscopy. At time of cystoscopy, the patients had unexpected findings of bladder masses and postoperatively were expeditiously referred to urology. Final pathology for all revealed low-grade urologic carcinoma. The patients were treated with transurethral excision and are currently in surveillance without concern for recurrence. All three patients were asymptomatic at time of diagnosis. If the masses were not identified at the time of hysterectomy with cystoscopy, it is unclear when the patients may have developed symptoms to warrant a workup and likely would have experienced progression of the malignancy during that time. We hope this case series showcases that abnormal bladder masses are easily identifiable by the benign gynecologist at time of cystoscopy and illustrates another benefit of routine cystoscopy at time of hysterectomy.

Keywords: Bladder cancer; Cystoscopy; Hysterectomy.

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Figures

Figure 1.
Figure 1.
3 centimeter polypoid lesion near left trigone.
Figure 2.
Figure 2.
5 millimeter polypoid lesion near right ureteral orifice.
Figure 3.
Figure 3.
1.5 centimeter polypoid lesion within the bladder.
See this image and copyright information in PMC

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