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A Novel Presentation of Bladder Mass: Self-palpation by a Patient With Cystocele

Feloney, Michael, MD, FACS*†; Wu, Jocelyn A., BS; Brush, Thomas, MD*; Dietz, Nick, MD

Female Pelvic Medicine & Reconstructive Surgery: September/October 2018 - Volume 24 - Issue 5 - p e29–e31
doi: 10.1097/SPV.0000000000000468
Case Reports

Introduction This case describes diagnosis of a T2 transitional cell carcinoma in an 89-year-old woman with known cystocele and urinary retention managed with clean intermittent self-catheterization.

Case While self-catheterizing, the patient noted a palpable mass in her cystocele. She eventually pursued urologic evaluation of this mass, which ultimately led to her diagnosis. This is the first reported case of transitional cell carcinoma being found on self-examination by palpating a cystocele.

From the *Division of Urologic Surgery, Department of Urology, Creighton University School of Medicine;

Boys Town National Research Hospital;

Creighton University School of Medicine; and

§Department of Pathology, Creighton University School of Medicine, Omaha, NE.

Correspondence: Michael Feloney, MD, FACS, Department of Surgery, Academic Center, 601 North 30th St, Suite 3520, Omaha, NE 68131. E-mail:

The authors have declared they have no conflicts of interest.

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