case_images: PMC5702393_01
case_images: Suprapubic cystostomy site growth with urinary catheter in situ.
case_images: CRIU2017-7940101.001.jpg
case_images: PMC5702393_01_CRIU2017-7940101.001.jpg
case_images: fig1
case_images: Physical examination revealed a fungating growth surrounding the suprapubic cystostomy site (Figure 1).
case_images: A contrast enhanced computed tomography scan image of suprapubic cystostomy site growth, transverse section.
case_images: CRIU2017-7940101.002.jpg
case_images: PMC5702393_01_CRIU2017-7940101.002.jpg
case_images: fig2
case_images: Contrast enhanced computed tomography scan of the abdomen and pelvis revealed a tumor around the cystostomy tract without involving the bladder and lymph nodes were negative (Figure 2).
case_images: Cystogram performed through suprapubic cystostomy demonstrates obstruction beyond the prostatic urethra.
case_images: CRIU2017-7940101.003.jpg
case_images: PMC5702393_01_CRIU2017-7940101.003.jpg
case_images: fig3
case_images: Cystogram was done to assess the possibility of perineal urethrostomy to place the urinary diversion after resection (Figure 3).
case_images: Wide local excision of the growth.
case_images: CRIU2017-7940101.004.jpg
case_images: PMC5702393_01_CRIU2017-7940101.004.jpg
case_images: fig4
case_images: The growth was excised with a macroscopic margin of 1 cm from skin down to the rectus sheath and cuff of the bladder with the cystostomy tract also removed en bloc (Figure 4).
case_images: After the tumor resection, the skin incision lines to raise the flap are illustrated.
case_images: CRIU2017-7940101.005.jpg
case_images: PMC5702393_01_CRIU2017-7940101.005.jpg
case_images: fig5
case_images: As shown in Figure 5, skin incision was made vertically and the width of the skin paddle was decided by the defect in the excision site in a way to close the defect.
case_images: Photograph of completion of reconstruction, showing that the urinary catheter is exteriorized through the flap.
case_images: CRIU2017-7940101.006.jpg
case_images: PMC5702393_01_CRIU2017-7940101.006.jpg
case_images: fig6
case_images: A silicon catheter was passed through the center of the flap while taking care not to damage the vascular supply to the flap (Figure 6).
case_images: Healed wound at 6 months of follow-up.
case_images: CRIU2017-7940101.007.jpg
case_images: PMC5702393_01_CRIU2017-7940101.007.jpg
case_images: fig7
case_images: Otherwise, the patient had uncomplicated recovery after surgery.  Figure 7 illustrates the healed surgical wound.
case_images: Well differentiated squamous cell carcinoma at low power (x40) (a) and high power (x100) (b).
case_images: CRIU2017-7940101.008.jpg
case_images: PMC5702393_01_CRIU2017-7940101.008.jpg
case_images: fig8