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Risk of cancer in neuropathic bladder

Risk of cancer in neuropathic bladder

Urologia Internationalis 39(2): 105-109

Neuropathic bladder is the 6th most frequent predisposing factor for bladder cancer. The incidence is reported to be 0.25-9.7%. For these patients, mortality is about 20 times higher than in patients with normal bladder function. Chronic infection of the urinary tract and long-term indwelling catheter increase the risk of cancer. Pure squamous cell and squamous cell carcinoma with elements of transitional cell carcinoma is surprisingly frequent. In comparison, carcinoma in defunctionalized bladder is rare. For prophylaxis, instead of using a long-term catheter, intermittent catheterization should be used; cystoscopic examination and mapping of a neuropathic bladder, which exists > 10 yr should be performed.

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