Would you resect Or Not , Mural bladder mass in 24 Asymptomatic👨 share DD @simon_p_kim Alfredo Sanchez Urólogo @GoumasUrologia Kari Tikkinen Zubeir A. Bare-الزّبير اَحمد برّي Ahmed Samir Ghonaimy mohammed ali Abdelghaffar mohamed Abdelsattar sharafeldeen mohamed elshazly Nitesh Kumar Dr Parimal Gharia Ahmad Khalifa Dr sami Endourology Academy

@simon_p_kim @lfredosanchez @GoumasUrologia @KariTikkinen @ZubeirBare @A_Ghonaimy @mohamme17537511 @sharaf20581 @mohamed92902484 @niteshkuro @DrParimalGharia @Khalifa_Urol @drsamiurologist @endouroacademy @drkemalsarica @guven_selcuk @DrShariat @ShahrourWalid @hazemelmansy1 @eauesut @sbinhamrii @StefaniaFerret @smasultan62 Agree probably leiomyoma. Would do it from outside bladder not inside. In case it’s something else. Robotic partial cystectomy.

@simon_p_kim @lfredosanchez @GoumasUrologia @KariTikkinen @ZubeirBare @A_Ghonaimy @mohamme17537511 @sharaf20581 @mohamed92902484 @niteshkuro @DrParimalGharia @Khalifa_Urol @drsamiurologist @endouroacademy @drkemalsarica @guven_selcuk @DrShariat @ShahrourWalid @hazemelmansy1 @eauesut @sbinhamrii @StefaniaFerret @smasultan62 Before to target either From outside or inside gonna take a biopsy by any other mean ?

@simon_p_kim @lfredosanchez @GoumasUrologia @KariTikkinen @ZubeirBare @A_Ghonaimy @mohamme17537511 @sharaf20581 @mohamed92902484 @niteshkuro @DrParimalGharia @Khalifa_Urol @drsamiurologist @endouroacademy @drkemalsarica @guven_selcuk @DrShariat @ShahrourWalid @hazemelmansy1 @eauesut @sbinhamrii @StefaniaFerret @smasultan62 Looks like a bladder leiomyoma. Take a biopsy and if histology is confirmed, perform a partial cystectomy (any approach is ok)

@simon_p_kim @lfredosanchez @GoumasUrologia @KariTikkinen @ZubeirBare @A_Ghonaimy @mohamme17537511 @sharaf20581 @mohamed92902484 @niteshkuro @DrParimalGharia @Khalifa_Urol @drsamiurologist @endouroacademy @drkemalsarica @guven_selcuk @DrShariat @ShahrourWalid @hazemelmansy1 @eauesut @sbinhamrii @StefaniaFerret @smasultan62 What if was a sarcoma ?

@simon_p_kim @lfredosanchez @GoumasUrologia @KariTikkinen @ZubeirBare @A_Ghonaimy @mohamme17537511 @sharaf20581 @mohamed92902484 @niteshkuro @DrParimalGharia @Khalifa_Urol @drsamiurologist @endouroacademy @drkemalsarica @guven_selcuk @DrShariat @ShahrourWalid @hazemelmansy1 @eauesut @sbinhamrii @StefaniaFerret @smasultan62 Bladder leyomioma

@simon_p_kim @lfredosanchez @GoumasUrologia @KariTikkinen @ZubeirBare @A_Ghonaimy @mohamme17537511 @sharaf20581 @mohamed92902484 @niteshkuro @DrParimalGharia @Khalifa_Urol @drsamiurologist @endouroacademy @drkemalsarica @guven_selcuk @DrShariat @ShahrourWalid @hazemelmansy1 @eauesut @sbinhamrii @StefaniaFerret @smasultan62 Leiomyoma > TURB (rather than surgical enucleation given its localization)

@simon_p_kim @lfredosanchez @GoumasUrologia @KariTikkinen @ZubeirBare @A_Ghonaimy @mohamme17537511 @sharaf20581 @mohamed92902484 @niteshkuro @DrParimalGharia @Khalifa_Urol @endouroacademy @drkemalsarica @guven_selcuk @DrShariat @ShahrourWalid @hazemelmansy1 @eauesut @sbinhamrii @StefaniaFerret @smasultan62 Biopsy and decide further course of treatment after histopathology...Good luck

@simon_p_kim @lfredosanchez @GoumasUrologia @KariTikkinen @ZubeirBare @A_Ghonaimy @mohamme17537511 @mohamed92902484 @niteshkuro @DrParimalGharia @Khalifa_Urol @drsamiurologist @endouroacademy @drkemalsarica @guven_selcuk @DrShariat @ShahrourWalid @hazemelmansy1 @eauesut @sbinhamrii @StefaniaFerret @smasultan62 👍👍 The experience from some similar cases :Based on asymptomatic presentation /the available CT images/single kidney: I’ll ask for MRI before cystoscopy putting in my consideration diagnostic lap/ excision +/- partial cystectomy ..

@simon_p_kim @lfredosanchez @GoumasUrologia @KariTikkinen @ZubeirBare @A_Ghonaimy @mohamme17537511 @sharaf20581 @mohamed92902484 @niteshkuro @Khalifa_Urol @drsamiurologist @endouroacademy @drkemalsarica @guven_selcuk @DrShariat @ShahrourWalid @hazemelmansy1 @eauesut @sbinhamrii @StefaniaFerret @smasultan62 Kindly share coronal ans sagittal section of CT for further details

@simon_p_kim @lfredosanchez @GoumasUrologia @KariTikkinen @ZubeirBare @A_Ghonaimy @mohamme17537511 @sharaf20581 @mohamed92902484 @niteshkuro @DrParimalGharia @Khalifa_Urol @drsamiurologist @endouroacademy @drkemalsarica @guven_selcuk @DrShariat @ShahrourWalid @hazemelmansy1 @eauesut @sbinhamrii @StefaniaFerret @smasultan62 Once had a similar case, bladder leiomyoma, bled considerably when trying to resect it endoscopically since the preop dx was uncertain so it would have been better to just biopsy it and then perform partial cystectomy